Provider Demographics
NPI:1710328091
Name:BERRINGER, MONICA J (ARNP)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:J
Last Name:BERRINGER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:J
Other - Last Name:ZAMORA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:704 SW 126TH ST
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98146-2868
Mailing Address - Country:US
Mailing Address - Phone:206-724-6277
Mailing Address - Fax:
Practice Address - Street 1:704 SW 126TH ST
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98146-2868
Practice Address - Country:US
Practice Address - Phone:206-701-1414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-15
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60368020363L00000X, 363LA2200X
WAAP1710328091363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology