Provider Demographics
NPI:1669120432
Name:EMERSON, MONNICA CHANING (APRN, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:MONNICA
Middle Name:CHANING
Last Name:EMERSON
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12221 E 51ST ST STE A
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74146-6216
Mailing Address - Country:US
Mailing Address - Phone:918-724-5365
Mailing Address - Fax:
Practice Address - Street 1:12221 E 51ST ST STE A
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74146-6216
Practice Address - Country:US
Practice Address - Phone:918-724-5365
Practice Address - Fax:949-695-2542
Is Sole Proprietor?:No
Enumeration Date:2022-03-11
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK207272363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK207272OtherOKLAHOMA BOARD OF NURSING