Individual provider · Type 1 NPI

Shannon Michelle Montague, ACNP

Acute Care Nurse Practitioner · Salt Lake City, UT

NPI number 1417312604 Active

Practice location

6360 S 3000 E, 210
Salt Lake City, UT 84121-6923

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X345074-4405 (UT)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1417312604

Shannon Michelle Montague, ACNP's National Provider Identifier is 1417312604, issued on Dec 15, 2015. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Salt Lake City, UT. The record was last updated on Dec 15, 2015.