Provider Demographics
NPI:1477346286
Name:MONTANGE, JUDY LYN
Entity type:Individual
Prefix:
First Name:JUDY
Middle Name:LYN
Last Name:MONTANGE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2213 WA CON DA RD
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NE
Mailing Address - Zip Code:68455-2485
Mailing Address - Country:US
Mailing Address - Phone:402-297-7487
Mailing Address - Fax:
Practice Address - Street 1:616 8TH AVE
Practice Address - Street 2:
Practice Address - City:PLATTSMOUTH
Practice Address - State:NE
Practice Address - Zip Code:68048-2141
Practice Address - Country:US
Practice Address - Phone:402-510-8281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-24
Last Update Date:2025-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No253Z00000XAgenciesIn Home Supportive Care