Provider Demographics
NPI:1033929799
Name:MONAGHAN, ALESSANDRA-ANNA MICHELI (FNP)
Entity type:Individual
Prefix:
First Name:ALESSANDRA-ANNA
Middle Name:MICHELI
Last Name:MONAGHAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3970 WHITE RD
Mailing Address - Street 2:
Mailing Address - City:FEDERALSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21632-2740
Mailing Address - Country:US
Mailing Address - Phone:410-443-8836
Mailing Address - Fax:
Practice Address - Street 1:3970 WHITE RD
Practice Address - Street 2:
Practice Address - City:FEDERALSBURG
Practice Address - State:MD
Practice Address - Zip Code:21632-2740
Practice Address - Country:US
Practice Address - Phone:410-443-8836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR247056363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily