Georgia Montgomery, CRNA | |
2600 Greenbush St, Lafayette, IN 47904-2479 | |
(765) 448-8000 | |
Not Available |
Full Name | Georgia Montgomery |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2600 Greenbush St, Lafayette, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740245174 | NPI | - | NPPES |
000000479774 | Other | IN | ANTHEM PROVIDER NUMBER |
9436036 | Other | IN | PHCS PID NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 28167868A (Indiana) | Primary |
Mailing Address | Practice Location Address |
---|---|
Georgia Montgomery, CRNA Po Box 5545, Lafayette, IN 47903-5545 Ph: (765) 448-8000 | Georgia Montgomery, CRNA 2600 Greenbush St, Lafayette, IN 47904-2479 Ph: (765) 448-8000 |
Roger E. Brown, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Rhiannon H Mccarty, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 | |
James M Mclaughlin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-838-4758 | |
Dora Renee Green, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Jeffrey Hood, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Brianne Nicole Caniglia, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 | |
Dana Leanne Lemnus, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-838-4758 |