Provider Demographics
NPI:1114398047
Name:MONDAY, SHARHONDA (LPN)
Entity Type:Individual
Prefix:
First Name:SHARHONDA
Middle Name:
Last Name:MONDAY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:SHARHONDA
Other - Middle Name:
Other - Last Name:SMALLS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPN
Mailing Address - Street 1:105 WILLIS AVE
Mailing Address - Street 2:2F
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10454-4543
Mailing Address - Country:US
Mailing Address - Phone:347-595-9229
Mailing Address - Fax:
Practice Address - Street 1:105 WILLIS AVE
Practice Address - Street 2:2F
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10454-4543
Practice Address - Country:US
Practice Address - Phone:347-595-9229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-19
Last Update Date:2015-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY323442164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse