Individual
MONIQUE NEAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 253-5286
Mailing address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(267) 253-5286
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP009659
PA
363LG0600X
Gerontology Nurse Practitioner
SP009884
PA
Other
Enumeration date
08/30/2008
Last updated
03/07/2026
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