Healthcare Provider Details

I. General information

NPI: 1154234953
Provider Name (Legal Business Name): MONICA SUCEL HARTLE FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21167 E CATTLE DR
QUEEN CREEK AZ
85142-1658
US

IV. Provider business mailing address

21167 E CATTLE DR
QUEEN CREEK AZ
85142-1658
US

V. Phone/Fax

Practice location:
  • Phone: 602-349-0673
  • Fax:
Mailing address:
  • Phone: 602-349-0673
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number262247
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: