Provider Demographics
NPI:1225699853
Name:MONTANEZ, JOYIA (FNP)
Entity Type:Individual
Prefix:
First Name:JOYIA
Middle Name:
Last Name:MONTANEZ
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1749
Mailing Address - Street 2:
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28370-1749
Mailing Address - Country:US
Mailing Address - Phone:910-295-6868
Mailing Address - Fax:910-295-1514
Practice Address - Street 1:10 PAGE DR
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374-8848
Practice Address - Country:US
Practice Address - Phone:910-295-6868
Practice Address - Fax:910-295-1514
Is Sole Proprietor?:No
Enumeration Date:2019-06-25
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5011898363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner