Montaque, Mariyan

Montaque, Mariyan is an individual health care provider with primary practice located at 151 Worcester Rd , Barre MA 01005-9002. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Montaque, Mariyan can be contacted via phone (978) 355-6321.

Contact Information

Primary practice address
151 Worcester Rd Barre MA 01005-9002
Phone: (978) 355-6321
Fax: (978) 355-6329
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 070619-21 New Hampshire
Nursing Service Providers / Registered Nurse 163W00000X 4704289575 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2274743 Massachusetts
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X RN2274743 Massachusetts

Profile Details

NPI number 1083081046
LBN Legal business name Montaque, Mariyan
Credentials DNP, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2015
Last updated Oct 24th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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