# MONIQUE RAQUEL WILLINGHAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1912171885
- **Gender:** F
- **Credential:** CRNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | R160232 | MD | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | R160232 | MD | — |
| 363LF0000X | Family Nurse Practitioner | R160232 | MD | — |

## Other

- **Enumeration date:** 04/22/2008
- **Last updated:** 03/20/2023

## 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 |