Provider Demographics
NPI:1528013075
Name:SESSLER, MONIQUE NANCY (MD)
Entity Type:Individual
Prefix:MRS
First Name:MONIQUE
Middle Name:NANCY
Last Name:SESSLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 BULIFANTS BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-5712
Mailing Address - Country:US
Mailing Address - Phone:757-565-5440
Mailing Address - Fax:757-565-5451
Practice Address - Street 1:117 BULIFANTS BOULEVARD
Practice Address - Street 2:SUITE A
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188-5709
Practice Address - Country:US
Practice Address - Phone:757-565-5440
Practice Address - Fax:757-565-5451
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101049807207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5604427Medicaid
VA5604427Medicaid
VA080008249Medicare PIN