Healthcare Provider Details

I. General information

NPI: 1295899359
Provider Name (Legal Business Name): MONICA ABRANTE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MONICA ABRANTE MD

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 12/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6242 E ARBOR AVE SUITE #103
MESA AZ
85206-1309
US

IV. Provider business mailing address

6242 E ARBOR AVE SUITE #103
MESA AZ
85206-1309
US

V. Phone/Fax

Practice location:
  • Phone: 480-889-2165
  • Fax:
Mailing address:
  • Phone: 480-889-2165
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number22263
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number22263
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: