Provider Demographics
NPI:1518270511
Name:LAW, MONICA MARIE (FNP)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:MARIE
Last Name:LAW
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 FOLLIN LN SE
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180-4907
Mailing Address - Country:US
Mailing Address - Phone:571-263-6394
Mailing Address - Fax:703-206-1371
Practice Address - Street 1:820 FOLLIN LN SE
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-4907
Practice Address - Country:US
Practice Address - Phone:571-263-6394
Practice Address - Fax:703-206-1371
Is Sole Proprietor?:No
Enumeration Date:2010-07-19
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001148764163W00000X
VA0024168878363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse