Willingham, Monique Raquel
Willingham, Monique Raquel is an individual health care provider with primary practice located at 53 Old Solomons Island Rd Ste C , Annapolis MD 21401-3872. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Willingham, Monique Raquel can be contacted via phone (443) 570-5946.Contact Information
Primary practice address
53 Old Solomons Island Rd Ste C
Annapolis MD 21401-3872
Phone: (443) 570-5946
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | R160232 | Maryland |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R160232 | Maryland |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R160232 | Maryland |
Profile Details
| NPI number | 1912171885 |
|---|---|
| LBN Legal business name | Willingham, Monique Raquel |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2008 |
| Last updated | Mar 20th, 2023 - about 3 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 | 1912171885 | NPPES |
| District of Columbia | Other | V8740008 | BCBS |
| District of Columbia | Other | 937526-04 | BCBS |
| District of Columbia | Other | 6550091 | BCBS |
| District of Columbia | Other | 937526-02 | BCBS |
| District of Columbia | Other | V8080008 | BCBS |
| District of Columbia | MEDICAID | 414704900 | BCBS |
| District of Columbia | Other | V8380008 | BCBS |
| District of Columbia | Other | 937526-03 | BCBS |
| District of Columbia | Other | 9394371 | BCBS |
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