Provider Demographics
NPI:1932927944
Name:MONTGOMERY, AUNNA LAVONNE (APRN)
Entity type:Individual
Prefix:
First Name:AUNNA
Middle Name:LAVONNE
Last Name:MONTGOMERY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7790 WINTER GARDEN VINELAND RD STE 100
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-5896
Mailing Address - Country:US
Mailing Address - Phone:407-347-0101
Mailing Address - Fax:
Practice Address - Street 1:7790 WINTER GARDEN VINELAND RD STE 100
Practice Address - Street 2:
Practice Address - City:WINDERMERE
Practice Address - State:FL
Practice Address - Zip Code:34786-5896
Practice Address - Country:US
Practice Address - Phone:407-347-0101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-30
Last Update Date:2025-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11035207363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health