LATOYA BONITA ROUX MONTGOMERY NP NPI 1063784494

NPI Information

NPI: 1063784494
Provider Name: LATOYA BONITA ROUX MONTGOMERY, NP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
1968 PEACHTREE RD NW
ATLANTA, GA
ZIP 30309
Phone: (404) 605-2800
Get Directions

Latoya Bonita Roux Montgomery, NP is an acute care nurse practitioner in Atlanta, GA. Latoya Bonita Roux Montgomery, NP NPI is 1063784494. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1968 PEACHTREE RD NW
ATLANTA, GA
ZIP 30309-281
Phone: (404) 605-2800
Fax: (404) 351-5983

The NPI 1063784494 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 2/1/2012 and was last updated on 2/27/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	RN191082	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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