Mrs Colleen Aletha Montaque, in Dacula, GA - Registered Nurse

Mrs Colleen Aletha Montaque, is a Registered Nurse - Emergency physician based in Dacula, Georgia. Mrs Colleen Aletha Montaque is licensed to practice in Georgia (license number RN221313) and her current practice location is 2926 Mill Park Ct, Dacula, Georgia. She can be reached at her office (for appointments etc.) via phone at (347) 678-2865.

NPI number for Mrs Colleen Aletha Montaque is 1134607286 and her current mailing address is 2926 Mill Park Ct, Dacula, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134607286.

Contact Information

	Mrs Colleen Aletha Montaque,
	2926 Mill Park Ct, Dacula, GA 30019-3254
	(347) 678-2865
	Not Available

Physician's Profile

Full Name	Mrs Colleen Aletha Montaque
Gender	Female
Speciality	Registered Nurse - Emergency
Location	2926 Mill Park Ct, Dacula, Georgia
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1134607286
Provider Enumeration Date: 07/31/2018
Last Update Date: 12/07/2023

Medical Identifiers

Medical identifiers for Mrs Colleen Aletha Montaque such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134607286	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	RN221313 (Georgia)	Secondary
207VG0400X	Obstetrics & Gynecology - Gynecology	RN221313 (Georgia)	Secondary
163WE0003X	Registered Nurse - Emergency	RN221313 (Georgia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Colleen Aletha Montaque is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Colleen Aletha Montaque, 2926 Mill Park Ct, Dacula, GA 30019-3254 Ph: (347) 678-2865	Mrs Colleen Aletha Montaque, 2926 Mill Park Ct, Dacula, GA 30019-3254 Ph: (347) 678-2865

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Mrs Colleen Aletha Montaque, - Registered Nurse in Dacula, GA