Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Maryalice Montgomery, RNCNORRNFA

Individual provider Registered Nurse First Assistant · NPI 1407009665

Mrs. Maryalice Montgomery, RNCNORRNFA is a Registered Nurse First Assistant in Eagle River, Alaska. Practices as a sole proprietor. Licensed in Alaska.

Licensed in
AK
In the registry since
2008

Practice location Address checks out

21309 Lowland Ave
Eagle River, AK 99577-9565
Phone: (907) 622-6222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse First Assistant (primary) Taxonomy 163WR0006X · Licence 24088 (AK)

Record details

NPI number1407009665
Entity typeIndividual (Type 1)
GenderFemale
Credentials RNCNORRNFA
Sole proprietorYes
NPI enumeratedOctober 31, 2008
Last updated in NPPESOctober 31, 2008

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