Provider Demographics
NPI:1083745715
Name:MONARCH PROFESSIONAL SERVICESS LLC
Entity Type:Organization
Organization Name:MONARCH PROFESSIONAL SERVICESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:KLINK
Authorized Official - Suffix:
Authorized Official - Credentials:CNM RNFA
Authorized Official - Phone:856-228-3253
Mailing Address - Street 1:1291 SHADY CREEK LN
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-4480
Mailing Address - Country:US
Mailing Address - Phone:856-228-3253
Mailing Address - Fax:888-329-6432
Practice Address - Street 1:1291 SHADY CREEK LN
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-4480
Practice Address - Country:US
Practice Address - Phone:856-228-3253
Practice Address - Fax:888-329-6432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR07978500163WR0006X
NJNJ25ME027901367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Multi-Specialty
Not Answered367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Multi-Specialty