Healthcare Provider Details

I. General information

NPI: 1528919016
Provider Name (Legal Business Name): MONICA SOPHIA MINOR AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2026
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 9TH ST N STE 101
NAPLES FL
34102-5886
US

IV. Provider business mailing address

124 COURTLAND AVE
WHEELING WV
26003-5037
US

V. Phone/Fax

Practice location:
  • Phone: 239-624-4299
  • Fax: 239-624-8856
Mailing address:
  • Phone: 304-559-2862
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11045709
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: