Provider Demographics
NPI:1497483655
Name:MONTAGNA, CHRISTY SMITH
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:SMITH
Last Name:MONTAGNA
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 1:2587 NORTHWESTERN PIKE
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22603-3820
Mailing Address - Country:US
Mailing Address - Phone:540-550-7880
Mailing Address - Fax:
Practice Address - Street 1:2587 NORTHWESTERN PIKE
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22603-3820
Practice Address - Country:US
Practice Address - Phone:540-550-7880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-15
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant