Healthcare Provider Details

I. General information

NPI: 1043205701
Provider Name (Legal Business Name): MARGARET L MONTGOMERY CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2005
Last Update Date: 05/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 IRVING ST NW SUITE 4700 NORTH
WASHINGTON DC
20010-2927
US

IV. Provider business mailing address

106 IRVING ST NW SUITE 4700 NORTH
WASHINGTON DC
20010-2927
US

V. Phone/Fax

Practice location:
  • Phone: 202-877-7479
  • Fax: 202-877-7414
Mailing address:
  • Phone: 202-877-7479
  • Fax: 202-877-7414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberRN1016301
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: