Healthcare Provider Details

I. General information

NPI: 1528013075
Provider Name (Legal Business Name): MONIQUE NANCY SESSLER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 07/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 BULIFANTS BOULEVARD SUITE A
WILLIAMSBURG VA
23188-5709
US

IV. Provider business mailing address

117 BULIFANTS BLVD SUITE A
WILLIAMSBURG VA
23188-5712
US

V. Phone/Fax

Practice location:
  • Phone: 757-565-5440
  • Fax: 757-565-5451
Mailing address:
  • Phone: 757-565-5440
  • Fax: 757-565-5451

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101049807
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: