Provider Demographics
NPI:1184042715
Name:CONTRERAS-GARAY, MONICA (ACNP-BC)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:CONTRERAS-GARAY
Suffix:
Gender:F
Credentials:ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:614 E DIAMOND DR
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-3727
Mailing Address - Country:US
Mailing Address - Phone:480-838-2563
Mailing Address - Fax:
Practice Address - Street 1:614 E DIAMOND DR
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-3727
Practice Address - Country:US
Practice Address - Phone:480-838-2563
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-01
Last Update Date:2014-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP5494363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care