Provider Demographics
NPI:1245053008
Name:FUGATE, MONICA MARY (FNP-C)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:MARY
Last Name:FUGATE
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 1:7005 E VUELTA AGUARACHAY
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85756-0001
Mailing Address - Country:US
Mailing Address - Phone:630-429-6432
Mailing Address - Fax:
Practice Address - Street 1:6567 E CARONDELET DR STE 475
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-6152
Practice Address - Country:US
Practice Address - Phone:520-420-1966
Practice Address - Fax:866-733-1907
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-31
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZF08240889363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily