Provider Demographics
NPI:1023714383
Name:MONAKHOV, ALETA (DNP-PMHNP)
Entity type:Individual
Prefix:
First Name:ALETA
Middle Name:
Last Name:MONAKHOV
Suffix:
Gender:F
Credentials:DNP-PMHNP
Other - Prefix:
Other - First Name:ALETA
Other - Middle Name:
Other - Last Name:MONAKHOV
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DNP-PMHNP
Mailing Address - Street 1:4211 WAIALAE AVE STE 208
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-5312
Mailing Address - Country:US
Mailing Address - Phone:808-213-7292
Mailing Address - Fax:
Practice Address - Street 1:4211 WAIALAE AVE STE 208
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-5312
Practice Address - Country:US
Practice Address - Phone:808-213-7292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-07
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-4771363LP0808X
HIRN-68081163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse