Provider Demographics
NPI:1174401210
Name:SOLOMON, MONETTE FLORES (CRNP, AGPCNP-BC)
Entity type:Individual
Prefix:
First Name:MONETTE
Middle Name:FLORES
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:CRNP, AGPCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 WILDE AVE
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-3418
Mailing Address - Country:US
Mailing Address - Phone:609-969-9040
Mailing Address - Fax:
Practice Address - Street 1:200 W MONTGOMERY AVE
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:PA
Practice Address - Zip Code:19003-1416
Practice Address - Country:US
Practice Address - Phone:610-649-2433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP033622363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health