Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 246816 | NC |
N | 363LF0000X | Nurse Practitioner - Family Medicine | ARNP9273541 | FL |
NPI | 1003195249 |
---|---|
Provider Name | Leigh Nicole Montejo |
First Address | Durham, NC 27705-3875 |
Second Address | Durham, NC 27707 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2011 |
Last Update Date | 10/03/2017 |