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NPI Code Detail

MEDICARE: MICHELLE MONSON APRN

MEDICARE: MICHELLE MONSON APRN
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner73901ID
2363LP0808XPsychiatric/Mental Health Nurse Practitioner10030790OR
3363LP0808XPsychiatric/Mental Health Nurse Practitioner1086705TX

General Provider Information

NPI Number : 1861110629
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE MONSON APRN
Provider Business Mailing Address
First Line : 4245 N CENTRAL EXPY STE 490
Second Line :
City : DALLAS
State : TX
Zip : 75205-4231
Country : US
Telephone Number : 972-454-4511
Fax Number : 972-808-6771
Provider Business Practice Location Address
First Line : 4245 N CENTRAL EXPY STE 490
Second Line :
City : DALLAS
State : TX
Zip : 75205-4231
Country : US
Telephone Number : 972-454-4511
Fax Number : 972-808-6771
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2022
Last Update Date : 08/13/2024

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