Doctor Name: | MONICA SLIGH |
NPI Number: | 1114144318 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | NP16536 |
Business Practice Address: | 1125 Sir Francis Drake Blvd Suite A Kentfield, CA - 949041418 |
Business Phone Number: | 4154853541 |
Business Fax Number: | 4154531765 |
Mailing Address: | 93 Park Place Dr, PETALUMA |
State: | CA |
Postal Code: | 949546629 |
Phone Number: | 4156403209 |
Fax Number: | 4154531765 |
NPI Enumeration Date: | 04/19/2007 |
NPI Last Update Date: | 09/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | NP16536 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |