Individual provider · Type 1 NPI

Mary Montgomery

Licensed Practical Nurse · Clarksburg, WV

NPI number 1184846321 Active

Practice location

706 Oakmound Rd
Clarksburg, WV 26301-9398

Mailing address

PO Box 60
Gypsy, WV 26361-0060

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X15311 (WV)

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.

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About NPI 1184846321

Mary Montgomery's National Provider Identifier is 1184846321, issued on May 3, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Clarksburg, WV. The record was last updated on Jul 8, 2007.