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Individual

CHRISTOPHER MONK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
2480 WHITE BEAR AVE N STE 104, MAPLEWOOD, MN 55109-4568
(612) 444-3247
(612) 888-9247
Mailing address
2480 WHITE BEAR AVE N STE 104, MAPLEWOOD, MN 55109-4568
(612) 444-3247
(612) 888-9247

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9329
MN
363LA2200X
Adult Health Nurse Practitioner
AP61109491
WA
363LP2300X
Primary Care Nurse Practitioner
N361122516
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9329
MN CNP LICENSE
MN
Enumeration date
11/10/2020
Last updated
11/01/2022
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