Provider Demographics
NPI:1063020956
Name:MONARCH PSYCHIATRIC NP PLLC
Entity type:Organization
Organization Name:MONARCH PSYCHIATRIC NP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PROVIDER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:NATASHA
Authorized Official - Last Name:DUROVICH
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:929-276-1696
Mailing Address - Street 1:4611 S UNIVERSITY DR # 202
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-3817
Mailing Address - Country:US
Mailing Address - Phone:929-276-1696
Mailing Address - Fax:914-999-8520
Practice Address - Street 1:1115 BROADWAY FL 10
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-3454
Practice Address - Country:US
Practice Address - Phone:929-276-1696
Practice Address - Fax:914-999-8520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty