Provider Demographics
NPI:1578898383
Name:WOOLDRIDGE, MONICA LEE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:LEE
Last Name:WOOLDRIDGE
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Gender:F
Credentials:FNP
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Mailing Address - Street 1:1542 TALISMAN WAY
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94521-3156
Mailing Address - Country:US
Mailing Address - Phone:925-676-3785
Mailing Address - Fax:925-685-3309
Practice Address - Street 1:171 SAND CREEK RD
Practice Address - Street 2:SUITE A
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-2033
Practice Address - Country:US
Practice Address - Phone:925-513-6807
Practice Address - Fax:925-513-6874
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-12
Last Update Date:2016-04-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20161363LF0000X
CA718957163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse