Individual
MONICA C. PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1401 W ESPLANADE AVE STE 108A, KENNER, LA 70065-2800
(504) 575-3712
(504) 575-3712
Mailing address
1033 DR. MARTIN LUTHER KING JR. STREET NORTH, SUITE 108, ST. PETERSBURG, FL 33701-1547
(727) 456-3288
(727) 456-3289
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP3190362
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308273300
—
FL
Enumeration date
04/17/2007
Last updated
03/17/2018
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