Provider Demographics
NPI:1861732331
Name:LOVINS, MONICA (CRNP)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:LOVINS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5914 PERFECT CALM CT
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21029-1259
Mailing Address - Country:US
Mailing Address - Phone:443-472-8863
Mailing Address - Fax:
Practice Address - Street 1:4940 EASTERN AVE
Practice Address - Street 2:A BUILDING 5TH FLOOR-558
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-2735
Practice Address - Country:US
Practice Address - Phone:410-550-2821
Practice Address - Fax:410-550-0154
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-21
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR121384363LA2200X
NJ26NJ00415300363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health