Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 18225 | SC |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 18225 | SC |
NPI | 1003259235 |
---|---|
Provider Name | Ms. Monica M Denoux |
First Address | Charlotte, NC 28289-0291 |
Second Address | Asheville, NC 28801-4160 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2013 |
Last Update Date | 28/09/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
NP2481 | (05) | SC |