Provider Demographics
NPI:1023632510
Name:SMITH, MONIKA SCHAUB (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:MONIKA
Middle Name:SCHAUB
Last Name:SMITH
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10311 NEW KENT HWY
Mailing Address - Street 2:
Mailing Address - City:NEW KENT
Mailing Address - State:VA
Mailing Address - Zip Code:23124-2334
Mailing Address - Country:US
Mailing Address - Phone:804-615-9119
Mailing Address - Fax:
Practice Address - Street 1:7401 BEAUFONT SPRINGS DRIVE
Practice Address - Street 2:SUITE 205
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225
Practice Address - Country:US
Practice Address - Phone:804-272-0114
Practice Address - Fax:804-272-1125
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-01
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024178907363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty