Provider Demographics
NPI:1649452418
Name:ATCHLEY, MONETTE (RN, PHN, LAC)
Entity type:Individual
Prefix:MS
First Name:MONETTE
Middle Name:
Last Name:ATCHLEY
Suffix:
Gender:F
Credentials:RN, PHN, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14435 NORTH 7TH STREET
Mailing Address - Street 2:SUITE 300A
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022
Mailing Address - Country:US
Mailing Address - Phone:602-350-4691
Mailing Address - Fax:
Practice Address - Street 1:14435 N 7TH ST
Practice Address - Street 2:SUITE 300A
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022-4371
Practice Address - Country:US
Practice Address - Phone:602-350-4691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-03
Last Update Date:2015-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0934171100000X
CA515990163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health