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General NPI Number Information
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NPI Number | 1376404053
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Entity Type | Individual
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Provider Name | MARRISA LEIGH MONTANO-WHITE PMHNP
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Gender | Female
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Dates
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Enumeration Date | 11/20/2025
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Last Update Date | 04/18/2026
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Provider Practice Location Address
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Address Line | 1502 STABLECROSS DR
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City | CASTLE PINES
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State | CO
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Zip | 80108-9603
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Country | US
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Telephone | 303-903-7603
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Fax | 303-903-7603
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Provider Business Mailing Address
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Address Line | 1502 STABLECROSS DR
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City | CASTLE PINES
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State | CO
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Zip | 80108-9603
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Country | US
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Telephone | 303-903-7603
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Fax | 303-903-7603
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WR1000X
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Taxonomy Name | Reproductive Endocrinology/Infertility Registered Nurse
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License Number | RN.0199488
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APN.1001730-NP
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License Number State | CO
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