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TANGALA SUE MONTGOMERY LPN
NPI 1063041663
Licensed Practical Nurse in Freeport, OH

Active since April 06, 2020
19253 SLIGO RD, FREEPORT, OH 43973(740) 260-0821 Get Directions Write a Review

NPPES record last updated: April 6, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tangala Sue Montgomery Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TANGALA SUE MONTGOMERY LPN (NPI 1063041663) is an individual licensed practical nurse in Freeport, Ohio, licensed in Ohio (083268) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1063041663
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameTANGALA SUE MONTGOMERYCredential: LPN
Location Address19253 SLIGO RDFreeport, OH 43973-9660
Mailing Address19253 Sligo RdFreeport, OH 43973-9660
Phone(740) 260-0821
Sole ProprietorYes
Enumeration DateApril 6, 2020
NPPES CertifiedApril 6, 2020
✔ NPI 1063041663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OH · 083268
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
19253 SLIGO RD, Freeport, OH 43973
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Other Names 1

Former Name (1)Tangala Sue Quillin Lpn

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tangala Montgomery's NPI number?

The NPI number for Tangala Montgomery is 1063041663. It was assigned to this individual provider in the NPPES registry on April 6, 2020. The provider is also known as Tangala Sue Quillin Lpn.

Where is Tangala Montgomery located?

Tangala Montgomery practices at 19253 Sligo Rd, Freeport, OH 43973. The listed phone number is (740) 260-0821.

What is Tangala Montgomery's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Tangala Montgomery was last updated on April 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.