MARK TIMOTHY MONFASANI PMHNP-BC AGNP-BC NPI 1053830018

NPI Information

NPI: 1053830018
Provider Name: MARK TIMOTHY MONFASANI, PMHNP-BC, AGNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
2 MASTER DR STE 1
FRANKLIN, MA
ZIP 02038
Phone: (413) 343-4357
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Mark Timothy Monfasani, PMHNP-BC, AGNP-BC is a psychiatric/mental health nurse practitioner in Franklin, MA. Mark Timothy Monfasani, PMHNP-BC, AGNP-BC NPI is 1053830018. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2 MASTER DR STE 1
FRANKLIN, MA
ZIP 02038-052
Phone: (413) 343-4357

The enumeration date for this NPI number is 9/11/2017 and was last updated on 11/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	RN2310066	MASSACHUSETTS	No
2	363LA2200X	Nurse Practitioner	Adult Health	95007333	CALIFORNIA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	95007333	CALIFORNIA	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	RN2310066	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	95007333	OTHER	CALIFORNIA	NURSE PRACTITIONER NUMBER
2	RN2310066	OTHER	MASSACHUSETTS	NP LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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