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NPI Code Detail

MEDICARE: SHARON ALEICIA MONTOYA

MEDICARE:   SHARON ALEICIA MONTOYA
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1114628575
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON ALEICIA MONTOYA
Provider Business Mailing Address
First Line : 3800 SUNSET DR SPC 20
Second Line :
City : ROCK SPRINGS
State : WY
Zip : 82901-6907
Country : US
Telephone Number : 307-371-4306
Fax Number :
Provider Business Practice Location Address
First Line : 3800 SUNSET DR SPC 20
Second Line :
City : ROCK SPRINGS
State : WY
Zip : 82901-6907
Country : US
Telephone Number : 307-371-4306
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2023
Last Update Date : 03/13/2023

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Directions to “ SHARON ALEICIA MONTOYA ” Practice Location

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