Provider Demographics
NPI:1760288336
Name:ABDELA, MONALIZA (FNP)
Entity type:Individual
Prefix:
First Name:MONALIZA
Middle Name:
Last Name:ABDELA
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20400 W BLUEMOUND RD STE 400
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53045-5910
Mailing Address - Country:US
Mailing Address - Phone:262-688-9494
Mailing Address - Fax:
Practice Address - Street 1:20400 W BLUEMOUND RD STE 400
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53045-5910
Practice Address - Country:US
Practice Address - Phone:262-688-9494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI14608-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily