Provider Demographics
NPI:1831163633
Name:STECKER, MONA (CRNP)
Entity type:Individual
Prefix:MS
First Name:MONA
Middle Name:
Last Name:STECKER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:MONA
Other - Middle Name:
Other - Last Name:BARAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:1600 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-3656
Mailing Address - Country:US
Mailing Address - Phone:304-526-6387
Mailing Address - Fax:304-526-6327
Practice Address - Street 1:1600 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-3656
Practice Address - Country:US
Practice Address - Phone:304-526-6387
Practice Address - Fax:304-526-6327
Is Sole Proprietor?:No
Enumeration Date:2006-02-16
Last Update Date:2011-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP007864363L00000X
WV74217363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH22993711Medicaid
PA1831163633OtherNPI
WV3810014832Medicaid
KY7100145220Medicaid
KY7100145220Medicaid
WV3810014832Medicaid