| Doctor Name: | MISS AWISA MONSEFAN |
| NPI Number: | 1013071547 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, MSN, NP-C |
| License Number: | 16647 |
| Business Practice Address: | 629 Garden Creek Pl Danville, CA - 945261730 |
| Business Phone Number: | 9258313646 |
| Business Fax Number: | |
| Mailing Address: | 4165 Blackhawk Plaza Cir 100, DANVILLE |
| State: | CA |
| Postal Code: | 945064691 |
| Phone Number: | 9257367070 |
| Fax Number: | 9257367075 |
| NPI Enumeration Date: | 12/20/2006 |
| NPI Last Update Date: | 12/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 16647 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |