Provider Demographics
NPI:1295243822
Name:IVERSON, MONICA LEIGH (APRN, WHNP-BC)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:LEIGH
Last Name:IVERSON
Suffix:
Gender:
Credentials:APRN, WHNP-BC
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:LEIGH
Other - Last Name:CHRISTENSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, WHNP-BC
Mailing Address - Street 1:2818 ASTORIA BLVD
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11102-1932
Mailing Address - Country:US
Mailing Address - Phone:917-410-6905
Mailing Address - Fax:347-889-7346
Practice Address - Street 1:2818 ASTORIA BLVD
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11102-1932
Practice Address - Country:US
Practice Address - Phone:917-410-6905
Practice Address - Fax:347-889-7346
Is Sole Proprietor?:No
Enumeration Date:2018-01-17
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY421327363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health