IndividualActive
Maryalice Montgomery, RN CNOR RNFA
NPI 1407009665 · Registered Nurse First Assistant · Eagle River, AK
Provider details
- NPI number
- 1407009665
- Entity type
- Individual
- Primary specialty
- Registered Nurse First AssistantNursing Service Providers
- Credential
- RN CNOR RNFA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 24088 (AK)
Mailing address
21309 Lowland Ave
Eagle River, AK 99577-9565
Registry dates
- Enumerated
- 2008-10-31
- Last updated
- 2008-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.