Most Relevant Information
Provider Data
| NPI Number: | 1003419466 |
| Provider Name: | NICHOLAS MONTGOMERY |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | SP022844 |
Most Important Dates
| Enumeration Date: | 11/18/2020 |
| Last Updated: | 01/22/2021 |
Provider Practice Location
104 RAILROAD ST
BEDFORD
PA
155221013
Practice Location Phone/Fax
| Phone: | 8142635804 |
| Fax: |
Provider Mailing Location
PO BOX 706
HYNDMAN
PA
155450706
Provider Mailing Phone/Fax
| Phone: | 8148423206 |
| Fax: | 8148423746 |