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Mary M Montague, FNP
Family Nurse Practitioner in Fairfax, Virginia
NPI 1558726604

Mary M Montague is a Family Nurse Practitioner based in Fairfax, VA and is specialized in Family. Mary M Montague practices in Fairfax, VA and has the professional credentials of FNP. The NPI Number for Mary M Montague is 1558726604 and holds a License No. 0024173093 (Virginia).

The current practice location address for Mary M Montague is 2730 Prosperity Ave Ste D, Fairfax, VA and can be reached out via phone at 703-226-2290.

Location: 2730 Prosperity Ave Ste D, Fairfax, VA, 22031-4330
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558726604
Provider Name
Mary M Montague
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
2730 Prosperity Ave Ste D, Fairfax, VA, 22031-4330
Phone Number
703-226-2290
Fax Number
Provider Enumeration Date
12/16/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2730 Prosperity Ave Ste D
City
Fairfax
State
Virginia
Zip
22031-4330
Phone Number
703-226-2290
Fax Number
person
Provider Business Mailing Address Details
Address
2730 Prosperity Ave Ste D
City
Fairfax
State
Virginia
Zip
22031-4330
Phone Number
703-226-2290
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
0024173093 (Virginia)
Definition
Definition to come...
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