Provider Demographics
NPI:1881695682
Name:MONTGOMERY, ROSEMARIE ABID (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ROSEMARIE
Middle Name:ABID
Last Name:MONTGOMERY
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Gender:F
Credentials:FNP-C
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Mailing Address - Street 1:985 BERKSHIRE BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-1268
Mailing Address - Country:US
Mailing Address - Phone:610-374-5599
Mailing Address - Fax:610-375-1262
Practice Address - Street 1:985 BERKSHIRE BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-1268
Practice Address - Country:US
Practice Address - Phone:610-374-5599
Practice Address - Fax:610-375-1262
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2021-01-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PASP009300363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1022183940001Medicaid