1578898383 NPI number — MRS. MONICA LEE WOOLDRIDGE FNP

Table of content: MRS. MONICA LEE WOOLDRIDGE FNP (NPI 1578898383)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578898383 NPI number — MRS. MONICA LEE WOOLDRIDGE FNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WOOLDRIDGE
Provider First Name:
MONICA
Provider Middle Name:
LEE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
FNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578898383
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/24/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1542 TALISMAN WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CONCORD
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94521-3156
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
925-676-3785
Provider Business Mailing Address Fax Number:
925-685-3309

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
171 SAND CREEK RD
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
BRENTWOOD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94513-2033
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
925-513-6807
Provider Business Practice Location Address Fax Number:
925-513-6874
Provider Enumeration Date:
10/12/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  20161 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 163W00000X , with the licence number: 718957 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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