Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | SP021698 | PA |
N | 207RH0003X | Hematology & Oncology | SP021698 | PA |
N | 363L00000X | Nurse Practitioner | SP021698 | PA |
Y | 363LA2100X | Nurse Practitioner - Acute Care | SP021698 | PA |
N | 363LA2200X | Nurse Practitioner - Adult Health | SP021698 | PA |
N | 363LG0600X | Nurse Practitioner - Gerontology | SP021698 | PA |
NPI | 1063032530 |
---|---|
Provider Name | Monique Maria Tee |
First Address | Philadelphia, PA 19104-5127 |
Second Address | Philadelphia, PA 19104-5127 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2020 |
Last Update Date | 24/04/2020 |