Healthcare Provider Details

I. General information

NPI: 1063329894
Provider Name (Legal Business Name): MICHAELA MONK PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

146 HWY 64 E
HAYESVILLE NC
28904-7300
US

IV. Provider business mailing address

141 MASTERS CT
BRISTOL VA
24202-3491
US

V. Phone/Fax

Practice location:
  • Phone: 828-389-3608
  • Fax:
Mailing address:
  • Phone: 276-591-6802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-16971
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: