Provider Demographics
NPI:1619269206
Name:DURAN, MONICA LORRIANE (RN, CNOR, RNFA)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:LORRIANE
Last Name:DURAN
Suffix:
Gender:F
Credentials:RN, CNOR, RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5618 TULL ST
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-9095
Mailing Address - Country:US
Mailing Address - Phone:805-658-2071
Mailing Address - Fax:805-658-8626
Practice Address - Street 1:5618 TULL ST
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-9095
Practice Address - Country:US
Practice Address - Phone:805-658-2071
Practice Address - Fax:805-658-8626
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-13
Last Update Date:2011-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA572843163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant