MEDICARE: GABRIELLE MARIA MONACO PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1164185591
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELLE MARIA MONACO PA-C

Provider Business Mailing Address
First Line	:	3801 CHASE WELLESLEY CT APT 234
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23233-7751
Country	:	US
Telephone Number	:	724-714-5970
Fax Number	:

Provider Business Practice Location Address
First Line	:	3310 FALL HILL AVE
Second Line	:
City	:	FREDERICKSBURG
State	:	VA
Zip	:	22401-3000
Country	:	US
Telephone Number	:	540-373-4602
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2021
Last Update Date	:	01/30/2026

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