IndividualActive
Andrea Montgomery, AGNP
NPI 1265045264 · Adult Health Nurse Practitioner · Saint Louis, MO
Provider details
- NPI number
- 1265045264
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGNP
- Sex
- Female
- Sole proprietor
- No
- License
- 2020028109 (MO)
Mailing address
444 Honeysuckle Ln
Saint Louis, MO 63119-4521
Registry dates
- Enumerated
- 2020-08-28
- Last updated
- 2025-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.