Most Relevant Information
Provider Data
| NPI Number: | 1003305434 |
| Provider Name: | ANGELA MONTGOMERY APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 0001319316 |
Most Important Dates
| Enumeration Date: | 05/01/2018 |
| Last Updated: | 04/25/2024 |
Provider Practice Location
8713 DIGGES RD
MANASSAS
VA
201104403
Practice Location Phone/Fax
| Phone: | 7033309222 |
| Fax: |
Provider Mailing Location
8713 DIGGES RD
MANASSAS
VA
201104403
Provider Mailing Phone/Fax
| Phone: | 7033309222 |
| Fax: | 7033304425 |