Healthcare Provider Details

I. General information

NPI: 1285004879
Provider Name (Legal Business Name): MONIKA MCDONALD CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MONIKA LETOVSKA

II. Dates (important events)

Enumeration Date: 09/25/2015
Last Update Date: 10/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 E MARSHALL ST SUITE 201
WEST CHESTER PA
19380-5414
US

IV. Provider business mailing address

440 E MARSHALL ST SUITE 201
WEST CHESTER PA
19380-5414
US

V. Phone/Fax

Practice location:
  • Phone: 610-738-2500
  • Fax: 610-738-2540
Mailing address:
  • Phone: 610-738-2500
  • Fax: 610-738-2540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP015177
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: