Provider Demographics
NPI:1114280344
Name:MONARCH ANESTHETIST CONSULTANTS
Entity Type:Organization
Organization Name:MONARCH ANESTHETIST CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAREN
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:CAJARES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-615-3572
Mailing Address - Street 1:4876 PRINCESS ANNE RD
Mailing Address - Street 2:SUITE 118 - 200
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-4447
Mailing Address - Country:US
Mailing Address - Phone:757-615-3572
Mailing Address - Fax:757-819-4969
Practice Address - Street 1:4876 PRINCESS ANNE RD
Practice Address - Street 2:SUITE 118 - 200
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-4447
Practice Address - Country:US
Practice Address - Phone:757-615-3572
Practice Address - Fax:757-819-4969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-22
Last Update Date:2016-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty