Provider Demographics
NPI:1659645265
Name:MONKOU, TERENCE (RN)
Entity Type:Individual
Prefix:
First Name:TERENCE
Middle Name:
Last Name:MONKOU
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5203 DARTMOOR CT
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-4100
Mailing Address - Country:US
Mailing Address - Phone:240-477-3060
Mailing Address - Fax:
Practice Address - Street 1:5203 DARTMOOR CT
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-4100
Practice Address - Country:US
Practice Address - Phone:240-477-3060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-28
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR095333174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator