Tana Kayliene Montgomery, RN

Individual provider Active NPI Case Manager/Care Coordinator · Giddings, TX

NPI 1972085355 · NPPES record last updated Sep 3, 2018

Key facts

NPI
1972085355
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
307 S Madison St
Giddings, TX 78942-4221
Phone
(979) 492-6288
NPI assigned
Sep 3, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

307 S Madison St
Giddings, TX 78942-4221

Mailing address

307 S Madison St
Giddings, TX 78942-4221
Phone (979) 492-6288

Other names

  • Mrs. Tana Kayliene Osgood Former name

Other providers in Giddings, TX

All providers in Giddings, TX · Case Manager/Care Coordinator in Texas

Sources for this page

Verify at the official NPI Registry.