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NPI Code Detail

MEDICARE: SHEMIKA MARIE MONTANA

MEDICARE: SHEMIKA MARIE MONTANA
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
1363LF0000XFamily Nurse PractitionerAP09659LA

General Provider Information

NPI Number : 1457866634
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEMIKA MARIE MONTANA
Provider Business Mailing Address
First Line : 2201 BRIGHTON PL
Second Line :
City : HARVEY
State : LA
Zip : 70058-1313
Country : US
Telephone Number : 504-415-2464
Fax Number :
Provider Business Practice Location Address
First Line : 4605 MAGAZINE ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70115-1517
Country : US
Telephone Number : 504-891-7676
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2017
Last Update Date : 12/09/2017

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Directions to “ SHEMIKA MARIE MONTANA ” Practice Location

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