Monique Smith
Nurse Practitioner in Brookhaven, PA. Individual provider (NPI-1).
NPI number1962385773
StatusActive
Last updated in NPPESFeb 17, 2026
Details
- NPI
- 1962385773
- Entity type
- Individual (NPI-1)
- Name
- Monique Smith
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 29, 2025
- Certification date
- Feb 17, 2026
- Last updated
- Feb 17, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | L8-0010879 | DE | Yes |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | SP033416 | PA | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | AC008632 | MD |
Practice location
1510 Rainer RdBrookhaven, PA 19015-1942
Phone 267-595-5249
Mailing address
1510 Rainer RdBrookhaven, PA 19015-1942
Phone 267-595-5249
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