Individual provider · Type 1 NPI
La Shanda Montgomery, MSN, RN, FNP-C
Family Nurse Practitioner · Mansfield, TX
NPI number
1396147583
Active
Practice location
980 Hwy N. 287
Mansfield, TX 76063
Mailing address
980 Hwy N 287
Mansfield, TX 76063
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AP126363 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1396147583
La Shanda Montgomery, MSN, RN, FNP-C's National Provider Identifier is 1396147583, issued on Sep 19, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mansfield, TX. The record was last updated on Apr 27, 2017.