Provider Demographics
NPI:1295544948
Name:MANSELL, MONICA ANN (MSN, RN, FNP-C)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:ANN
Last Name:MANSELL
Suffix:
Gender:F
Credentials:MSN, RN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 RIVERVIEW DR
Mailing Address - Street 2:
Mailing Address - City:NAPOLEON
Mailing Address - State:MO
Mailing Address - Zip Code:64074-7104
Mailing Address - Country:US
Mailing Address - Phone:816-699-4853
Mailing Address - Fax:
Practice Address - Street 1:2 SCHOOL ROAD
Practice Address - Street 2:
Practice Address - City:NAKNEK
Practice Address - State:AK
Practice Address - Zip Code:99633
Practice Address - Country:US
Practice Address - Phone:907-246-6155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-06
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK230019163WC1500X
MO2011002043163WE0003X
MO2024050323363LF0000X
AK233649363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WE0003XNursing Service ProvidersRegistered NurseEmergency