Healthcare Provider Details

I. General information

NPI: 1891606612
Provider Name (Legal Business Name): MONTANA B MCCAFFREY LM, CPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1745 MARILYN LN
SAN MARCOS CA
92069-9782
US

IV. Provider business mailing address

1745 MARILYN LN
SAN MARCOS CA
92069-9782
US

V. Phone/Fax

Practice location:
  • Phone: 406-600-6686
  • Fax:
Mailing address:
  • Phone: 406-600-6686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number797
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: