Provider Demographics
NPI:1750186813
Name:MONK, WILLETTE (HEALTH EDUCATOR)
Entity type:Individual
Prefix:
First Name:WILLETTE
Middle Name:
Last Name:MONK
Suffix:
Gender:F
Credentials:HEALTH EDUCATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1963 W PEMBROKE AVE APT 231
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23661-1925
Mailing Address - Country:US
Mailing Address - Phone:757-534-8318
Mailing Address - Fax:
Practice Address - Street 1:1963 W PEMBROKE AVE APT 231
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23661-1925
Practice Address - Country:US
Practice Address - Phone:757-534-8318
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator