Individual provider · Type 1 NPI
Mary Brown Montgomery, CPNP
Pediatric Nurse Practitioner · St. Louis, MO
NPI number
1114704996
Active
Practice location
9415 High Hill Ct
St. Louis, MO 63126-2106
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 2022039874 (MO) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1114704996
Mary Brown Montgomery, CPNP's National Provider Identifier is 1114704996, issued on Sep 13, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Louis, MO. The record was last updated on Sep 13, 2023.