Provider Demographics
NPI:1609391721
Name:MONTES, AMY LAUREN (CPNP-PC, IBCLC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:LAUREN
Last Name:MONTES
Suffix:
Gender:F
Credentials:CPNP-PC, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-2518
Mailing Address - Country:US
Mailing Address - Phone:458-226-0813
Mailing Address - Fax:
Practice Address - Street 1:12 MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-2518
Practice Address - Country:US
Practice Address - Phone:458-226-0813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-09
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201706368DP363LP0200X
NCMONT-RWAAD363LP0200X
NC354359163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics