MEDICARE: MISS MONICA SOPHIA MINOR AGACNP-BC

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	363L00000X	Nurse Practitioner	APRN11045709	FL

General Provider Information

NPI Number	:	1528919016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS MONICA SOPHIA MINOR AGACNP-BC

Provider Business Mailing Address
First Line	:	124 COURTLAND AVE
Second Line	:
City	:	WHEELING
State	:	WV
Zip	:	26003-5037
Country	:	US
Telephone Number	:	304-559-2862
Fax Number	:

Provider Business Practice Location Address
First Line	:	311 9TH ST N STE 101
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34102-5886
Country	:	US
Telephone Number	:	239-624-4299
Fax Number	:	239-624-8856

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

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	03/09/2026

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