Provider Demographics
NPI:1427621440
Name:ANDREWS, MONIKA ELISE (RN, CRNA)
Entity type:Individual
Prefix:DR
First Name:MONIKA
Middle Name:ELISE
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:RN, CRNA
Other - Prefix:DR
Other - First Name:MONIKA
Other - Middle Name:ELISE
Other - Last Name:CRIMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 844658
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-4658
Mailing Address - Country:US
Mailing Address - Phone:254-724-2111
Mailing Address - Fax:
Practice Address - Street 1:1901 SW H K DODGEN LOOP
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-1814
Practice Address - Country:US
Practice Address - Phone:254-724-5437
Practice Address - Fax:254-935-4111
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-19
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001245865163WC0200X
VA134319367500000X
TX1099912367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine