MRS. Ida Sue Montgomery, CRNP
NPI #1104809359 in Fort Rucker, Alabama
Provider Information
- NPI Number
- 1104809359
- Entity Type
- Individual
- Name
- MRS. Ida Sue Montgomery, CRNP
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Nurse Practitioner - Primary Care
- Credential
- CRNP
- Enumeration Date
- Nov 22, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 301 ANDREWS AVENUE
- Address 2
- LYSTER ARMY OUTPATIENT CLINIC
- City
- Fort Rucker
- State
- Alabama
- ZIP Code
- 36362
- Phone
- (334) 255-7387
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Primary Care — Primary Care |
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