Provider Demographics
NPI:1164767968
Name:BROWN, MONIKA R (NP)
Entity Type:Individual
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First Name:MONIKA
Middle Name:R
Last Name:BROWN
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Gender:F
Credentials:NP
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Mailing Address - Street 1:7007 HARBOUR VIEW BLVD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-3657
Mailing Address - Country:US
Mailing Address - Phone:757-215-2745
Mailing Address - Fax:757-215-2728
Practice Address - Street 1:12720 MCMANUS BLVD
Practice Address - Street 2:SUITE 308
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23602-4414
Practice Address - Country:US
Practice Address - Phone:757-947-3840
Practice Address - Fax:757-947-3848
Is Sole Proprietor?:No
Enumeration Date:2012-12-05
Last Update Date:2022-01-31
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Provider Licenses
StateLicense IDTaxonomies
VA0024170379363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner