Provider Demographics
NPI:1043916190
Name:NIKU, MONICA BEHNAZ (FNP-C, APN, MSN)
Entity type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:BEHNAZ
Last Name:NIKU
Suffix:
Gender:F
Credentials:FNP-C, APN, MSN
Other - Prefix:MRS
Other - First Name:BEHNAZ
Other - Middle Name:MONICA
Other - Last Name:NIKU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8967 STONEBRIAR DR
Mailing Address - Street 2:
Mailing Address - City:CLARENCE CENTER
Mailing Address - State:NY
Mailing Address - Zip Code:14032-9374
Mailing Address - Country:US
Mailing Address - Phone:716-472-1551
Mailing Address - Fax:
Practice Address - Street 1:8967 STONEBRIAR DR
Practice Address - Street 2:
Practice Address - City:CLARENCE CENTER
Practice Address - State:NY
Practice Address - Zip Code:14032-9374
Practice Address - Country:US
Practice Address - Phone:716-472-1551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY337576363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily