Basic Information
| Provider Information | |||||||||
| NPI: | 1427188564 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MONTOYA | ||||||||
| FirstName: | LUCY | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | R.N. | ||||||||
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| Mailing Information | |||||||||
| Address1: | P.O. BOX 931 | ||||||||
| Address2: | |||||||||
| City: | BAYARD | ||||||||
| State: | NM | ||||||||
| PostalCode: | 88023 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5053884484 | ||||||||
| FaxNumber: | 5055373335 | ||||||||
| Practice Location | |||||||||
| Address1: | 1000 N HUDSON ST | ||||||||
| Address2: | |||||||||
| City: | SILVER CITY | ||||||||
| State: | NM | ||||||||
| PostalCode: | 880615516 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5755970211 | ||||||||
| FaxNumber: | 5755972998 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/07/2007 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/21/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | R55045 | NM | N | Nursing Service Providers | Registered Nurse | 163WS0200X | R55045 | NM | N | Nursing Service Providers | Registered Nurse | School | 171M00000X | Y | Other Service Providers | Case Manager/Care Coordinator |
No ID Information.