Healthcare Provider Details

I. General information

NPI: 1851598551
Provider Name (Legal Business Name): MONIKA BEATA PIS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2007
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 PGA BLVD
PALM BEACH GARDENS FL
33410-2823
US

IV. Provider business mailing address

3401 PGA BLVD STE 300
PALM BEACH GARDENS FL
33410-2824
US

V. Phone/Fax

Practice location:
  • Phone: 561-741-0000
  • Fax: 561-741-0002
Mailing address:
  • Phone: 561-741-0000
  • Fax: 561-741-0002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAPRN9359064
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: