Provider Demographics
NPI:1528891447
Name:MCLARIN-ECTOR, MONIQUE NICOLE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:MONIQUE
Middle Name:NICOLE
Last Name:MCLARIN-ECTOR
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MS
Other - First Name:MONIQUE
Other - Middle Name:NICOLE
Other - Last Name:MCLARIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-C
Mailing Address - Street 1:PO BOX 644
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-0644
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 644
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-0644
Practice Address - Country:US
Practice Address - Phone:678-466-0883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-26
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN246586363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily