Provider Demographics
NPI:1467224220
Name:FILIPPONE, MONICA RAE (CNM)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:RAE
Last Name:FILIPPONE
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:MISS
Other - First Name:MONICA
Other - Middle Name:RAE
Other - Last Name:GOAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2514 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81505-7055
Mailing Address - Country:US
Mailing Address - Phone:970-319-7825
Mailing Address - Fax:
Practice Address - Street 1:715 S 3RD ST
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-4209
Practice Address - Country:US
Practice Address - Phone:970-249-6737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-25
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0999257-CNM367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife