Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0505X | Family Doctor - Adult Medicine | 22263 | AZ |
Y | 207R00000X | Internist | 22263 | AZ |
Y | 111NI0900X | Internist | 22263 | AZ |
NPI | 1295899359 |
---|---|
Provider Name | Dr. Monica Abrante |
First Address | Mesa, AZ 85206-1309 |
Second Address | Mesa, AZ 85206-1309 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2006 |
Last Update Date | 05/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
213695 | (05) | AZ |
F96902 | (02) | AZ |