Individual provider · Type 1 NPI
Tangala Sue Montgomery, LPN
Licensed Practical Nurse · Freeport, OH
NPI number
1063041663
Active
Practice location
19253 Sligo Rd
Freeport, OH 43973-9660
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 083268 (OH) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
About NPI 1063041663
Tangala Sue Montgomery, LPN's National Provider Identifier is 1063041663, issued on Apr 6, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Freeport, OH. The record was last updated on Apr 6, 2020.