| NPI | 1962287771 |
|---|---|
| Former Name | ASHLEY TARYN MONTGOMERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 267069) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: AZ 267069) |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2026-07-13 |