Individual
MRS. JONQUIL MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2570 HAYMAKER RD, MONROEVILLE, PA 15146-3513
(412) 858-2000
Mailing address
2570 HAYMAKER RD, MONROEVILLE, PA 15146-3513
(412) 858-2000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP014913
PA
390200000X
Student in an Organized Health Care Education/Training Program
620168
PA
Other
Enumeration date
11/26/2014
Last updated
06/02/2015
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