Individual
MONIQUE SMALLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
12 S 8TH ST, YAKIMA, WA 98901-3020
(509) 454-4143
(509) 454-4115
Mailing address
PO BOX 2605, YAKIMA, WA 98907-2605
(509) 454-4143
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95012481
CA
363LF0000X
Family Nurse Practitioner
Primary
AP61502179
WA
Other
Enumeration date
01/09/2020
Last updated
02/14/2024
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