Healthcare Provider Details

I. General information

NPI: 1235045493
Provider Name (Legal Business Name): AMY MONTES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 MAPLE ST
CHADRON NE
69337-2868
US

IV. Provider business mailing address

1010 MAPLE ST
CHADRON NE
69337-2868
US

V. Phone/Fax

Practice location:
  • Phone: 308-249-6728
  • Fax: 308-524-6868
Mailing address:
  • Phone: 308-249-6728
  • Fax: 308-365-6868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: