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1679076616 NPI number — SAYWARD ROSE MONTOYA FNP-BC

NPI Number: 1679076616
Health Care Provider/Practitioner: SAYWARD ROSE MONTOYA FNP-BC

Information about “1679076616” NPI (SAYWARD ROSE MONTOYA FNP-BC) exists in 1679076616 in HTML format HTML  |  1679076616 in plain Text format TXT  |  1679076616 in PDF (Portable Document Format) PDF  |  1679076616 in an XML format XML  formats.

NPI Number : 1679076616 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679076616",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MONTOYA",
    "FirstName": "SAYWARD",
    "MiddleName": "ROSE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP-BC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DRISCOLL",
    "OtherFirstName": "SAYWARD",
    "OtherMiddleName": "ROSE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "639 S GREEN ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WINSTON SALEM",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "27101-5109",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "336-721-0606",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3185 MAPLEWOOD AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WINSTON SALEM",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27103-3903",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "336-721-0606",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/15/2018",
    "LastUpdateDate": "10/12/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "5011772",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "261578",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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