Individual
MONIQUE SHANTAE RASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
700 UNIVERSITY CITY BLVD, BLACKSBURG, VA 24060-2706
(540) 961-8300
(540) 961-8465
Mailing address
700 UNIVERSITY CITY BLVD, BLACKSBURG, VA 24060-2706
(540) 961-8300
(540) 961-8465
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024170402
VA
363LF0000X
Family Nurse Practitioner
Primary
0024170402
VA
363LF0000X
Family Nurse Practitioner
71598
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003044610
HIGHMARK BCBS OF WEST VIRGINIA
WV
05
—
1689927691
—
VA
05
—
3810027334
—
WV
Enumeration date
10/16/2012
Last updated
11/26/2025
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