Provider Demographics
NPI:1285004879
Name:MCDONALD, MONIKA (CRNP)
Entity Type:Individual
Prefix:
First Name:MONIKA
Middle Name:
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:MONIKA
Other - Middle Name:
Other - Last Name:LETOVSKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:440 E MARSHALL ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-5414
Mailing Address - Country:US
Mailing Address - Phone:610-738-2500
Mailing Address - Fax:610-738-2540
Practice Address - Street 1:440 E MARSHALL ST
Practice Address - Street 2:SUITE 201
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-5414
Practice Address - Country:US
Practice Address - Phone:610-738-2500
Practice Address - Fax:610-738-2540
Is Sole Proprietor?:No
Enumeration Date:2015-09-25
Last Update Date:2015-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP015177363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily