Berntsen, Monique A

Berntsen, Monique A is an individual health care provider with primary practice located at 6621 Fannin St , Houston TX 77030-2303. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Berntsen, Monique A can be contacted via phone (832) 824-5703.

Contact Information

Primary practice address
6621 Fannin St Houston TX 77030-2303
Phone: (832) 824-5703
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN.296741-COA1 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 784750 Texas

Profile Details

NPI number 1619913027
LBN Legal business name Berntsen, Monique A
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Oct 1st, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619913027 NPPES
Ohio MEDICAID 2472300

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