Individual
MONICA MIKAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, AGPCNP-BC
Contact information
Practice address
590 SOUTH AVE, WESTON, MA 02493-2608
(781) 879-9229
Mailing address
590 SOUTH AVE, WESTON, MA 02493-2608
(781) 879-9229
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95268638
CA
163W00000X
Registered Nurse
RN2319730
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
95022709
CA
363LP2300X
Primary Care Nurse Practitioner
RN2319730
MA
Other
Enumeration date
10/22/2019
Last updated
05/30/2023
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