Provider Demographics
NPI:1518712520
Name:RECTOR, MONAE S (MSN-ED, RN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:MONAE
Middle Name:S
Last Name:RECTOR
Suffix:
Gender:F
Credentials:MSN-ED, RN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 380
Mailing Address - Street 2:
Mailing Address - City:LEOLA
Mailing Address - State:PA
Mailing Address - Zip Code:17540-0380
Mailing Address - Country:US
Mailing Address - Phone:717-874-9838
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 380
Practice Address - Street 2:
Practice Address - City:LEOLA
Practice Address - State:PA
Practice Address - Zip Code:17540-0380
Practice Address - Country:US
Practice Address - Phone:717-874-9838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN653203163W00000X
PASP029618363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse