Healthcare Provider Details

I. General information

NPI: 1871079384
Provider Name (Legal Business Name): SHEREE NICOLE MONTOYA FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2018
Last Update Date: 02/20/2020
Certification Date: 02/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 E HARVARD AVE STE 265
DENVER CO
80210-5075
US

IV. Provider business mailing address

2928 W 10TH ST
GREELEY CO
80634-5426
US

V. Phone/Fax

Practice location:
  • Phone: 303-986-2274
  • Fax:
Mailing address:
  • Phone: 970-584-2100
  • Fax: 970-584-2101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0994015-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: