Doctor Name: | MRS. MONIQUE CECELIA GANTIER |
NPI Number: | 1114219094 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 33 336734 |
Business Practice Address: | 74 Albert St Garfield, NJ - 070262178 |
Business Phone Number: | 3472046090 |
Business Fax Number: | |
Mailing Address: | 74 Albert S, GARFIELD |
State: | NJ |
Postal Code: | 07026 |
Phone Number: | 3472046090 |
Fax Number: | |
NPI Enumeration Date: | 05/10/2011 |
NPI Last Update Date: | 05/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 33 336734 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |