Individual
MONIFA N THELWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1481 MCDONALD AVE FL 2, BROOKLYN, NY 11230-4667
(929) 491-7333
(215) 714-2210
Mailing address
405 N LINE ST, LANSDALE, PA 19446-2755
(305) 978-6086
(800) 564-5952
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
12567
CT
363LG0600X
Gerontology Nurse Practitioner
APN0999269-NP
CO
363LG0600X
Gerontology Nurse Practitioner
Primary
SP024065
PA
Other
Enumeration date
11/09/2021
Last updated
12/05/2023
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