Manderson, Monique

Manderson, Monique is an individual health care provider with primary practice located at 14 Crabapple Ln , Glen Carbon IL 62034-3024. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Manderson, Monique can be contacted via phone (618) 801-6677.

Contact Information

Primary practice address
14 Crabapple Ln Glen Carbon IL 62034-3024
Phone: (618) 801-6677
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209012605 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP11235 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP61438293 Washington
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 11014186 Florida

Profile Details

NPI number 1619360070
LBN Legal business name Manderson, Monique
Credentials FNP-C, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2015
Last updated Jul 18th, 2023 - about last year

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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