Provider Demographics
NPI:1548568892
Name:MONK, NATALIE CHRISTINE (PNP)
Entity Type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:CHRISTINE
Last Name:MONK
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2027 E FINLEY ST
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-1507
Mailing Address - Country:US
Mailing Address - Phone:623-986-8856
Mailing Address - Fax:
Practice Address - Street 1:2451 E BASELINE RD STE 200
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-2405
Practice Address - Country:US
Practice Address - Phone:480-507-2219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-10
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP3970363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAP3970OtherMEDICAL BOARD NUMBER