Provider Demographics
NPI:1962518175
Name:MCPHERSON, MONICA WENDELLA (RN, MSN, APNC)
Entity type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:WENDELLA
Last Name:MCPHERSON
Suffix:
Gender:F
Credentials:RN, MSN, APNC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:27 MELROSE AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07106-2707
Mailing Address - Country:US
Mailing Address - Phone:973-372-1470
Mailing Address - Fax:
Practice Address - Street 1:385 TREMONT AVE
Practice Address - Street 2:VA NEW JERSEY HEALTHCARE SYSTEM
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-1023
Practice Address - Country:US
Practice Address - Phone:973-676-1000
Practice Address - Fax:973-395-7096
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00083800363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health