Provider Demographics
NPI:1699226233
Name:NAUTA, MONICA CATHERINE (MSN FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:CATHERINE
Last Name:NAUTA
Suffix:
Gender:F
Credentials:MSN FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4639 CATALINA PKWY
Mailing Address - Street 2:
Mailing Address - City:MCFARLAND
Mailing Address - State:WI
Mailing Address - Zip Code:53558-8767
Mailing Address - Country:US
Mailing Address - Phone:407-202-1377
Mailing Address - Fax:
Practice Address - Street 1:4639 CATALINA PKWY
Practice Address - Street 2:
Practice Address - City:MCFARLAND
Practice Address - State:WI
Practice Address - Zip Code:53558-8767
Practice Address - Country:US
Practice Address - Phone:407-202-1377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-19
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI171501163W00000X
WI7243363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily