Provider Demographics
NPI:1851141907
Name:MONARI, MONICA (FNP)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:MONARI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3505 LONE TREE WAY STE 1
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94509-6067
Mailing Address - Country:US
Mailing Address - Phone:925-303-4780
Mailing Address - Fax:925-938-3662
Practice Address - Street 1:3505 LONE TREE WAY STE 1
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509-6067
Practice Address - Country:US
Practice Address - Phone:925-303-4780
Practice Address - Fax:925-938-3662
Is Sole Proprietor?:No
Enumeration Date:2024-03-22
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95028556363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily