Healthcare Provider Details

I. General information

NPI: 1295243822
Provider Name (Legal Business Name): MONICA LEIGH IVERSON APRN, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MONICA LEIGH CHRISTENSEN MSN, WHNP-BC

II. Dates (important events)

Enumeration Date: 01/17/2018
Last Update Date: 03/13/2025
Certification Date: 03/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2818 ASTORIA BLVD
ASTORIA NY
11102-1932
US

IV. Provider business mailing address

2818 ASTORIA BLVD
ASTORIA NY
11102-1932
US

V. Phone/Fax

Practice location:
  • Phone: 917-410-6905
  • Fax: 347-889-7346
Mailing address:
  • Phone: 917-410-6905
  • Fax: 347-889-7346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number421327
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: