IndividualActive
Ida Montgomery, CRNP
NPI 1104809359 · Primary Care Nurse Practitioner · Fort Rucker, AL
Provider details
- NPI number
- 1104809359
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNP
- Sex
- Female
- License
- APRN-384 (HI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
301 Andrews Avenue
Lyster Army Outpatient Clinic
Fort Rucker, AL 36362
Phone: (334) 255-7387
Approximate (ZIP-level) locationGet directions
Mailing address
301 Andrews Avenue
Fort Rucker, AL 36362
Registry dates
- Enumerated
- 2005-11-22
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.