Provider Demographics
NPI:1093400202
Name:MONNEY, TERRIN (LPN)
Entity Type:Individual
Prefix:
First Name:TERRIN
Middle Name:
Last Name:MONNEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:907 WEXFORD CT
Mailing Address - Street 2:
Mailing Address - City:EDGEWATER PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08010-3581
Mailing Address - Country:US
Mailing Address - Phone:732-822-0786
Mailing Address - Fax:
Practice Address - Street 1:907 WEXFORD CT
Practice Address - Street 2:
Practice Address - City:EDGEWATER PARK
Practice Address - State:NJ
Practice Address - Zip Code:08010-3581
Practice Address - Country:US
Practice Address - Phone:732-822-0786
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-05
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NP06279900164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse