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Individual
MONIQUE RAQUEL WILLINGHAM
Active
Individual
MONIQUE RAQUEL WILLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R160232
MD
363LA2200X
Adult Health Nurse Practitioner
R160232
MD
363LF0000X
Family Nurse Practitioner
R160232
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
414704900
—
MD
01
—
6550091
AETNA HMO
MD
01
—
937526-02
BCBS
MD
01
—
937526-03
BCBS
MD
01
—
937526-04
BCBS
MD
01
—
9394371
AETNA PPO
MD
01
—
V8080008
BCBS
DC
01
—
V8380008
BCBS
DC
01
—
V8740008
BCBS
DC
Enumeration date
04/22/2008
Last updated
03/20/2023
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