| Doctor Name: | TANITHA MARIE MONCIER |
| NPI Number: | 1063561181 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN-CNP |
| License Number: | 10468 |
| Business Practice Address: | 24 Sweden St Caribou, ME - 047362127 |
| Business Phone Number: | 2074933361 |
| Business Fax Number: | 2074924889 |
| Mailing Address: | 24 Sweden St, CARIBOU |
| State: | ME |
| Postal Code: | 047362127 |
| Phone Number: | 2074933361 |
| Fax Number: | 2074924889 |
| NPI Enumeration Date: | 01/09/2007 |
| NPI Last Update Date: | 03/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 10468 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |