Provider Demographics
NPI:1811407018
Name:MONDAY, MATIKA WYLEA (CNM)
Entity Type:Individual
Prefix:
First Name:MATIKA
Middle Name:WYLEA
Last Name:MONDAY
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:MATIKA
Other - Middle Name:WYLEA
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2805 S MAYHILL RD
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76208-5910
Mailing Address - Country:US
Mailing Address - Phone:940-591-6700
Mailing Address - Fax:940-320-1220
Practice Address - Street 1:2805 S MAYHILL RD
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76208
Practice Address - Country:US
Practice Address - Phone:940-591-6700
Practice Address - Fax:940-320-1220
Is Sole Proprietor?:No
Enumeration Date:2017-10-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP135286367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife