Provider Demographics
NPI:1962656462
Name:SCRUGGS, MONICA FAYE (ANP)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:FAYE
Last Name:SCRUGGS
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Gender:F
Credentials:ANP
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Mailing Address - Street 1:1633 WESTLAKE AVE N
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-6227
Mailing Address - Country:US
Mailing Address - Phone:509-688-5490
Mailing Address - Fax:877-490-8630
Practice Address - Street 1:1633 WESTLAKE AVE N
Practice Address - Street 2:SUITE 105
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-6227
Practice Address - Country:US
Practice Address - Phone:509-688-5490
Practice Address - Fax:877-490-8630
Is Sole Proprietor?:No
Enumeration Date:2008-11-11
Last Update Date:2016-01-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAAP60462749363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health