Provider Demographics
NPI:1477125813
Name:MONAGHAN, AMBER D (RRT)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:D
Last Name:MONAGHAN
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1605 W HANFORD ARMONA RD
Mailing Address - Street 2:
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-5537
Mailing Address - Country:US
Mailing Address - Phone:559-997-9833
Mailing Address - Fax:
Practice Address - Street 1:1605 W HANFORD ARMONA RD
Practice Address - Street 2:
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-5537
Practice Address - Country:US
Practice Address - Phone:559-997-9833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-14
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37042227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered