Provider Demographics
NPI:1477894053
Name:FIORELLI, MONICA LYNN (LPN)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:LYNN
Last Name:FIORELLI
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:FIORELLI
Other - Last Name:MAGEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:91 N PARLIMAN RD
Mailing Address - Street 2:
Mailing Address - City:LAGRANGEVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12540-6217
Mailing Address - Country:US
Mailing Address - Phone:845-857-7807
Mailing Address - Fax:
Practice Address - Street 1:91 N PARLIMAN RD
Practice Address - Street 2:
Practice Address - City:LAGRANGEVILLE
Practice Address - State:NY
Practice Address - Zip Code:12540-6217
Practice Address - Country:US
Practice Address - Phone:845-857-7807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-07
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY282147-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse