Provider Demographics
NPI:1861547580
Name:COTE-MELENDEZ, MONIQUE S (APRN)
Entity type:Individual
Prefix:
First Name:MONIQUE
Middle Name:S
Last Name:COTE-MELENDEZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 PINEWOOD RD
Mailing Address - Street 2:ELLIOT FAMILY HEALTH CENTER AT SUNCOOK
Mailing Address - City:ALLENSTOWN
Mailing Address - State:NH
Mailing Address - Zip Code:03275-2344
Mailing Address - Country:US
Mailing Address - Phone:603-485-7861
Mailing Address - Fax:
Practice Address - Street 1:50 PINEWOOD RD
Practice Address - Street 2:ELLIOT FAMILY HEALTH CENTER AT SUNCOOK
Practice Address - City:ALLENSTOWN
Practice Address - State:NH
Practice Address - Zip Code:03275-2344
Practice Address - Country:US
Practice Address - Phone:603-485-7861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH061560-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH061560-23OtherAPRN LICENSE