Emily Rae Montgomery, APRN
Nurse Practitioner in Orlando, FL. Individual provider (NPI-1).
NPI number1124697495
StatusActive
Last updated in NPPESJan 10, 2023
Details
- NPI
- 1124697495
- Entity type
- Individual (NPI-1)
- Name
- Emily Rae Montgomery
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 22, 2021
- Certification date
- Jan 10, 2023
- Last updated
- Jan 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 11010426 | FL | Yes |
| 363LP0200X | Nurse Practitioner, Pediatrics | APRN11010426 | FL |
Other names
- Emily Rae Goff (Former Name)
Practice location
6535 Nemours PkwyOrlando, FL 32827-7884
Phone 407-567-4000 · Fax 407-567-5924
Mailing address
10140 Centurion Pkwy NJacksonville, FL 32256-0532
Phone 049-697-4100
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