Stacey Leigh Montgomery
Nurse Practitioner - Critical Care Medicine
4725 N Federal Hwy
Fort Lauderdale
, Florida 33308-4603
Stacey Leigh Montgomery
Nurse Practitioner - Critical Care Medicine
4725 N Federal Hwy
Fort Lauderdale
, Florida 33308-4603
(772) 223-5618
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About
Features
Specialties
- Nurse Practitioner - Critical Care Medicine
Languages spoken
- English
Location
First Address
- Stacey Leigh Montgomery
- 200 Se Hospital Ave
- Stuart, FL
- Zip : 34994-2346
- Phone : (772) 223-5618
Second Address
- Stacey Leigh Montgomery
- 4725 N Federal Hwy
- Fort Lauderdale, FL
- Zip : 33308-4603
- Phone : (954) 771-8000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | ARNP9235897 | FL |
National Provider Identifier
| NPI | 1104244763 |
|---|---|
| Provider Name | Stacey Leigh Montgomery |
| First Address | Stuart, FL 34994-2346 |
| Second Address | Fort Lauderdale, FL 33308-4603 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/04/2014 |
| Last Update Date | 16/05/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| ARNP9235897 | ADVANCED REGISTERED NURSE PRACTITIONER (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.