Provider / Organization | NPI | Date Certified |
---|---|---|
AUNNA LAVONNE MONTGOMERY | 1932927944 | 2024-10-13 |
Aunna Lavonne Montgomery is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1932927944. Registration indicates Aunna Lavonne Montgomery is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Adult Health, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Adult Health, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
Entity Type | Individual |
Provider Name | Aunna Lavonne Montgomery APRN |
Practice Office Address | 101 LAKE AVE ORLANDO, FL US |
Practice Office Telephone | 4075054901 |
Mailing Address | 506 MARSH REED DR WINTER GARDEN, FL 347871742 US |
Business Telephone | 4028718392 |
Code | Practice | License No State |
---|---|---|
363LA2200X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Adult Health All Other Specialties & Provider Types Nurse Practitioner Adult Health Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 11035207
FL |