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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. IDA SUE MONTGOMERY, CRNP

Active

MRS. IDA SUE MONTGOMERY, CRNP is a Primary Care Nurse Practitioner healthcare provider located in FORT RUCKER, Alabama. NPI 1104809359 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · FORT RUCKER, AL

Registration Details

NPI Number
1104809359
Provider Type
Individual
Gender
Female
NPI Issued
Nov 22, 2005 (20.722970716285 yrs)
Last Updated
Jul 8, 2007
License
APRN-384 (HI)

Practice Information

Address
301 ANDREWS AVENUE
LYSTER ARMY OUTPATIENT CLINIC
FORT RUCKER, AL, 36362
Browse AL providers · Browse ZIP 36362
Phone
3342557387
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X

Other Primary Care Nurse Practitioner Providers in FORT RUCKER, AL

Name Credential NPI
MRS. ANNIE STEVENS BOOTHE CRNP 1396726733
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.