Provider Demographics
NPI:1326199712
Name:AERSTIN, MONICA CHRISTINE (NP-C)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:CHRISTINE
Last Name:AERSTIN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 BOSTONIAN TRCE
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-5627
Mailing Address - Country:US
Mailing Address - Phone:404-374-7995
Mailing Address - Fax:
Practice Address - Street 1:1938 PEACHTREE RD NW
Practice Address - Street 2:SUITE 700
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1267
Practice Address - Country:US
Practice Address - Phone:404-605-2495
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN131199363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARN131199OtherNURSING LICENSE
GARN131199OtherNURSING LICENSE
GAQ54458Medicare UPIN