Pedersen, Monica C.

Pedersen, Monica C. is an individual health care provider with primary practice located at 1401 W Esplanade Ave Ste 108A , Kenner LA 70065-2800. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Pedersen, Monica C. can be contacted via phone (504) 575-3712.

Contact Information

Primary practice address
1401 W Esplanade Ave Ste 108A Kenner LA 70065-2800
Phone: (504) 575-3712
Fax: (504) 575-3712
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP3190362 Florida

Profile Details

NPI number 1316163777
LBN Legal business name Pedersen, Monica C.
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Mar 17th, 2018 - about 8 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 1316163777 NPPES
Florida MEDICAID 308273300

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