The Team

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Angelique is a dedicated and compassionate physician assistant at Piedmont Neuroscience Center. With a strong background in patient care and clinical practice, Angel brings her expertise and enthusiasm to our team, specializing in providing comprehensive support for patients managing complex neurological and psychiatric conditions. She has developed an expertise in medication management, Transcranial Magnetic Stimulation (TMS) and Traumatic Brain Injury (TBI). 

Angel earned her Physician Assistant degree and has extensive experience working in diverse healthcare settings from operating rooms to urgent care clinics. Prior to joining Piedmont Neuroscience Center, she played an integral role in patient education and wellness initiatives, empowering individuals to take charge of their health. Her commitment to patient-centered care aligns with our mission to provide exceptional, personalized care.

At Piedmont Neuroscience Center, Angel focuses on collaborating with our multidisciplinary team to deliver innovative treatments and support for her patients. She is passionate about ensuring patients feel informed and confident in their treatment plans.

Outside of work, Angel enjoys connecting with her community through health education events and staying active with outdoor activities. Her warm and approachable demeanor makes her a trusted partner for patients and families navigating complex neurological and psychiatric issues.

We are thrilled to have Angel as part of our care team, bringing her dedication to enhancing the lives of our patients every day.

Fletcher Munksgard is a Family Nurse Practitioner with a master’s degree from Samuel Merritt University. He has been in practice for going on 9 years now, in fields ranging from primary care, worker’s comp, and emergency medicine. He was also previously the ultrasound program director and one of the medical directors for Carbon Health. He left his previous position in 2023 to start his own functional medicine practice where he sees and treats patients with all kinds of chronic conditions, including Lyme disease. 

His work at PNC includes physical therapy and regenerative modalities for musculoskeletal and neurological injuries and conditions, as well as IV ketamine therapy.

Michelle has a wealth of experience in healthcare, with over 12 years spent providing compassionate and high-quality care to her patients. As a certified TMS and Shockwave therapy provider, she applies her extensive expertise to offer the best treatment options for her patients.

Beyond her professional life, Michelle is a dedicated mother of four, deeply involved in her children's activities, especially as a soccer mom. In her free time, she enjoys the thrill of horror movies and has an adventurous spirit, always seeking new experiences to explore and enjoy.

Sarah is a dedicated and highly motivated Psychiatric Physician Assistant with a deep curiosity for the intricate connections between the mind, body, and emotions. She believes in a holistic approach to mental health, recognizing that each individual's unique presentation shapes their journey. Committed to continuous learning, she stays updated on the latest research to provide evidence-based, comprehensive care.

Sarah earned her Master of Physician Assistant Studies (MPAS) from Idaho State University, where she conducted a capstone project on Attention-Deficit/Hyperactivity Disorder in the Adult Patient. She then completed a 12-month Behavioral Health Physician Assistant Fellowship at Pacific University, gaining advanced training in Addiction Medicine, Psychiatric Emergency Services, Inpatient Psychiatry, and Community Outpatient Behavioral Health.

With a compassionate and empathetic approach, Sarah strives to create a safe, non-judgmental space for open communication, fostering strong therapeutic relationships. Before joining Piedmont Neuroscience Center, she practiced at Vital Total Health Medical Group, specializing in behavioral health, addiction medicine, and chronic pain management. She worked extensively with patients requiring medication-supported recovery, ketamine infusion therapy, and neurocognitive assessments, developing personalized treatment plans that address each patient's unique needs.

She collaborates with interdisciplinary clinicians and actively advocates for the integration of psychological and physiological wellness. Her expertise extends beyond traditional psychiatric care, recognizing the intrinsic link between mental and physical health.

Committed to professional growth, Sarah has earned certifications in addiction psychiatry, pain management, and advanced life support. She remains dedicated to empowering patients through personalized treatment, resilience-building, and self-care strategies, helping them navigate their mental health journeys and lead fulfilling lives.

Dayna Orange is the Director of Operations at Piedmont Neuroscience Center. With more than 20 years of experience in healthcare management, she helps ensure that daily operations run smoothly while supporting the center’s mission of delivering high-quality, patient-centered care.

Dayna has worked in both clinical and administrative roles throughout her career, including positions at Epic Care, Alta Bates Summit Medical Center, and Memorial Sloan Kettering Cancer Center. Her background includes overseeing start-up operations, managing oncology programs, leading organizational changes, and implementing systems to improve workflow and patient experience.

She holds an MBA from CUNY-Baruch College’s Zicklin School of Business and a Bachelor’s degree in Management and Human Resources from the University of Wisconsin-Madison.

At Piedmont, Dayna focuses on improving processes, supporting staff, and helping the team deliver coordinated neurological and psychiatric care. She values collaboration, clear communication, and building systems that work well for both patients and providers.

Outside of work, Dayna enjoys spending time with her family and mentoring others in the healthcare field.