Individual
ELISE MONAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7101 JAHNKE RD, RICHMOND, VA 23225-4017
(804) 483-0000
Mailing address
12804 WALTON LAKE DR, MIDLOTHIAN, VA 23114-7101
(804) 909-2112
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008516
VA
363A00000X
Physician Assistant
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—
Other
Enumeration date
06/09/2022
Last updated
11/16/2023
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