Provider Demographics
NPI:1922498468
Name:ADERETI, MONNIE E (FNP)
Entity type:Individual
Prefix:
First Name:MONNIE
Middle Name:E
Last Name:ADERETI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12377 MERIT DR STE 300
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75251-3126
Mailing Address - Country:US
Mailing Address - Phone:972-957-3000
Mailing Address - Fax:
Practice Address - Street 1:4801 S COOPER ST STE 401
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-5963
Practice Address - Country:US
Practice Address - Phone:817-813-7100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-04
Last Update Date:2023-04-14
Deactivation Date:2021-12-10
Deactivation Code:
Reactivation Date:2021-12-28
Provider Licenses
StateLicense IDTaxonomies
TXAP127952363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily