Individual provider · Type 1 NPI
Deirdre Lynn Monahan, PA-C
Medical Physician Assistant · Putnam, CT
NPI number
1962736892
Active
Practice location
320 Pomfret St
Putnam, CT 06260
Mailing address
147 Killingly Ave
Putnam, CT 06260
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | MAPA4438 (MA) |
| Medical Physician Assistant | 363AM0700X | PA9110356 (FL) |
| Medical Physician Assistant Primary | 363AM0700X | 002327 (CT) |
Medical Physician Assistant: Definition to come...
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About NPI 1962736892
Deirdre Lynn Monahan, PA-C's National Provider Identifier is 1962736892, issued on Sep 24, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Putnam, CT. The record was last updated on Apr 15, 2020.