Individual provider · Type 1 NPI

Shanon David Montgomery, NP

Nurse Practitioner · Iron Mountain, MI

NPI number 1710347901 Active

Practice location

440 Woodward Ave
Iron Mountain, MI 49801-4631

Call (906) 776-9040 Map

Fax (906) 774-7279

Mailing address

PO Box 22487
Green Bay, WI 54305-2487

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704217286 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1710347901

Shanon David Montgomery, NP's National Provider Identifier is 1710347901, issued on Mar 1, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Iron Mountain, MI. The record was last updated on Feb 14, 2020.