Provider Demographics
NPI:1962887836
Name:FOXEN, MONTICA MAXINE (ARNP)
Entity type:Individual
Prefix:
First Name:MONTICA
Middle Name:MAXINE
Last Name:FOXEN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1306 HIGHWAY 57 STE A
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:IA
Mailing Address - Zip Code:50665-1075
Mailing Address - Country:US
Mailing Address - Phone:319-346-1330
Mailing Address - Fax:319-346-1332
Practice Address - Street 1:1306 HIGHWAY 57 STE A
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:IA
Practice Address - Zip Code:50665-1075
Practice Address - Country:US
Practice Address - Phone:319-346-1330
Practice Address - Fax:319-346-1332
Is Sole Proprietor?:No
Enumeration Date:2015-07-21
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA090510363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily