Provider Demographics
NPI:1699925362
Name:SAJECKI, MONIKA ANN (PA-C)
Entity type:Individual
Prefix:MISS
First Name:MONIKA
Middle Name:ANN
Last Name:SAJECKI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16100 N 71ST ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-2209
Mailing Address - Country:US
Mailing Address - Phone:480-656-0016
Mailing Address - Fax:
Practice Address - Street 1:16100 N 71ST ST
Practice Address - Street 2:SUITE 100
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-2209
Practice Address - Country:US
Practice Address - Phone:480-656-0016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-30
Last Update Date:2010-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4264363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical