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Shanon David Montgomery, NP
Nurse Practitioner in Iron Mountain, Michigan
NPI 1710347901

Shanon David Montgomery is a Nurse Practitioner based in Green Bay, MI. Shanon David Montgomery practices in Iron Mountain, MI and has the professional credentials of NP. The NPI Number for Shanon David Montgomery is 1710347901 and holds a License No. 4704217286 (Michigan).

The current practice location address for Shanon David Montgomery is 440 Woodward Ave, Iron Mountain, MI and can be reached out via phone at 906-776-9040 and via fax at 906-774-7279.

Location: 440 Woodward Ave, Iron Mountain, MI, 54305-2487
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710347901
Provider Name
Shanon David Montgomery
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
440 Woodward Ave, Iron Mountain, MI, 54305-2487
Phone Number
906-776-9040
Fax Number
906-774-7279
Provider Enumeration Date
03/01/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AG0216095 01 AMERICAN ACADEMY OF NURSE PRACTITIONERS
institution
Provider Business Practice Location Address Details
Address
440 Woodward Ave
City
Iron Mountain
State
Michigan
Zip
49801-4631
Phone Number
906-776-9040
Fax Number
906-774-7279
person
Provider Business Mailing Address Details
Address
440 Woodward Ave
City
Iron Mountain
State
Michigan
Zip
49801-4631
Phone Number
906-776-9040
Fax Number
906-774-7279
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
4704217286 (Michigan)
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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