Provider Demographics
NPI:1780118935
Name:MONICA K LOVERDI, PLLC
Entity type:Organization
Organization Name:MONICA K LOVERDI, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:K
Authorized Official - Last Name:LOVERDI
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:303-919-9126
Mailing Address - Street 1:7980 ANCHOR DR
Mailing Address - Street 2:SUITE 700B
Mailing Address - City:PORT ARTHUR
Mailing Address - State:TX
Mailing Address - Zip Code:77642-8266
Mailing Address - Country:US
Mailing Address - Phone:409-923-9291
Mailing Address - Fax:
Practice Address - Street 1:7980 ANCHOR DR
Practice Address - Street 2:SUITE 700B
Practice Address - City:PORT ARTHUR
Practice Address - State:TX
Practice Address - Zip Code:77642-8266
Practice Address - Country:US
Practice Address - Phone:409-923-9291
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-14
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP117243363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty