Provider Demographics
NPI:1205099694
Name:MONICO, VALARIE L (PA-C)
Entity type:Individual
Prefix:
First Name:VALARIE
Middle Name:L
Last Name:MONICO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:VALARIE
Other - Middle Name:L
Other - Last Name:MCLAUGHLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:150 DUNCAN RD
Mailing Address - Street 2:
Mailing Address - City:BUCKEYE
Mailing Address - State:WV
Mailing Address - Zip Code:24924-9037
Mailing Address - Country:US
Mailing Address - Phone:304-799-7400
Mailing Address - Fax:304-799-2276
Practice Address - Street 1:150 DUNCAN RD
Practice Address - Street 2:
Practice Address - City:BUCKEYE
Practice Address - State:WV
Practice Address - Zip Code:24924-9037
Practice Address - Country:US
Practice Address - Phone:304-799-7400
Practice Address - Fax:304-799-2276
Is Sole Proprietor?:No
Enumeration Date:2008-07-07
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV431363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810015757Medicaid
WVPA33826Medicare PIN
WVPA33823Medicare PIN
WVPA33822Medicare PIN
WVPA33825Medicare PIN
WV3810015757Medicaid
WVPA33824Medicare PIN
WVMOPA31331Medicare PIN
WVPA33827Medicare PIN