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:
Health care specialties
Specialty | Code | License # | 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 5 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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