IndividualActive
Angela Montgomery
NPI 1427686591 · Licensed Practical Nurse · Hannibal, MO
Provider details
- NPI number
- 1427686591
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1999135122 (MO)
Specialties & taxonomies
Nursing Service Providers
Practice location
4600 Mcmasters Ave
Hannibal, MO 63401-2244
Phone: (573) 603-1460
Fax: (573) 603-1462
Approximate (ZIP-level) locationGet directions
Mailing address
118 N 2nd St
Saint Charles, MO 63301-2832
Registry dates
- Enumerated
- 2020-04-01
- Last updated
- 2020-04-01
- Certified
- 2020-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.