Provider Demographics
NPI:1841502440
Name:MONSON, GAIL L (APRN)
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:L
Last Name:MONSON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 KATIE CT
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29646-4068
Mailing Address - Country:US
Mailing Address - Phone:864-227-2022
Mailing Address - Fax:864-227-2791
Practice Address - Street 1:102 KATIE CT
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29646-4068
Practice Address - Country:US
Practice Address - Phone:864-227-2022
Practice Address - Fax:864-227-2791
Is Sole Proprietor?:No
Enumeration Date:2010-07-12
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2888363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health