Provider Demographics
NPI:1114373271
Name:MONNEY, TAKYIWA
Entity Type:Individual
Prefix:
First Name:TAKYIWA
Middle Name:
Last Name:MONNEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 WINDAGE DR
Mailing Address - Street 2:APT 2F
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-4965
Mailing Address - Country:US
Mailing Address - Phone:513-652-4251
Mailing Address - Fax:
Practice Address - Street 1:2400 WINDAGE DR
Practice Address - Street 2:APT 2F
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-4965
Practice Address - Country:US
Practice Address - Phone:513-652-4251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-09
Last Update Date:2016-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide