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NPI Code Detail

MEDICARE: PHOEBE LAUREL MONTGOMERY CNM, MSN

MEDICARE: PHOEBE LAUREL MONTGOMERY CNM, MSN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LX0001XObstetrics & Gynecology Nurse PractitionerAPN.0991500-CNMCO
2363LW0102XWomen's Health Nurse PractitionerAPN.0991913-NPCO
3367A00000XAdvanced Practice MidwifeAPN.0991500-CNMCO

General Provider Information

NPI Number : 1033548599
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHOEBE LAUREL MONTGOMERY CNM, MSN
Provider Business Mailing Address
First Line : 777 BANNOCK ST
Second Line :
City : DENVER
State : CO
Zip : 80204-4597
Country : US
Telephone Number : 303-436-4949
Fax Number : 303-602-9150
Provider Business Practice Location Address
First Line : 777 BANNOCK ST
Second Line :
City : DENVER
State : CO
Zip : 80204-4597
Country : US
Telephone Number : 303-436-4949
Fax Number : 303-602-9150
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2013
Last Update Date : 12/12/2025

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