White, Monique Chanell
White, Monique Chanell is an individual health care provider with primary practice located at 500 N Washington Ave Suite 105, Titusville FL 32796-2759. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. White, Monique Chanell can be contacted via phone (321) 268-0267.Contact Information
Primary practice address
500 N Washington Ave Suite 105
Titusville FL 32796-2759
Phone: (321) 268-0267
Fax: (321) 268-3357
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP9247666 | Florida |
Profile Details
| NPI number | 1154613230 |
|---|---|
| LBN Legal business name | White, Monique Chanell |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2011 |
| Last updated | Oct 14th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154613230 | NPPES |
| Florida | MEDICAID | 003534100 |
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