Provider Demographics
NPI:1598242356
Name:EPPS, MONICA AMY (RN)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:AMY
Last Name:EPPS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:178 AVERY ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14606-1904
Mailing Address - Country:US
Mailing Address - Phone:585-627-3739
Mailing Address - Fax:
Practice Address - Street 1:178 AVERY ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14606-1904
Practice Address - Country:US
Practice Address - Phone:585-627-3739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-25
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY535716163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse