Provider Demographics
NPI:1033239231
Name:REMPEN, MONICA T (DOM)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:T
Last Name:REMPEN
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Gender:F
Credentials:DOM
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Mailing Address - Street 1:4101 MORRIS ST NE
Mailing Address - Street 2:STE B
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-3605
Mailing Address - Country:US
Mailing Address - Phone:505-615-7972
Mailing Address - Fax:866-835-8369
Practice Address - Street 1:4101 MORRIS ST NE
Practice Address - Street 2:STE B
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-3605
Practice Address - Country:US
Practice Address - Phone:505-615-7972
Practice Address - Fax:866-835-8369
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2022-05-26
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Provider Licenses
StateLicense IDTaxonomies
NMMD97-272207R00000X
NM802171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No171100000XOther Service ProvidersAcupuncturist