Provider Demographics
NPI:1013191857
Name:MONHEIT, JULIETTE CLARA (RN, CNS, P/MH NURSE)
Entity Type:Individual
Prefix:
First Name:JULIETTE
Middle Name:CLARA
Last Name:MONHEIT
Suffix:
Gender:F
Credentials:RN, CNS, P/MH NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 30TH ST
Mailing Address - Street 2:SUITE #1
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-3307
Mailing Address - Country:US
Mailing Address - Phone:510-898-6546
Mailing Address - Fax:
Practice Address - Street 1:431 30TH ST
Practice Address - Street 2:SUITE #1
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-3307
Practice Address - Country:US
Practice Address - Phone:510-898-6546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-27
Last Update Date:2013-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN547495163W00000X
CACNS 3452364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health