Provider Demographics
NPI:1710032214
Name:CRESSWELL, MONICA DAWN (RN)
Entity Type:Individual
Prefix:MS
First Name:MONICA
Middle Name:DAWN
Last Name:CRESSWELL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:MONICA
Other - Middle Name:DAWN
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:523 E MONTEREY ST
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-3750
Mailing Address - Country:US
Mailing Address - Phone:480-812-0227
Mailing Address - Fax:
Practice Address - Street 1:801 W SOUTHERN AVE
Practice Address - Street 2:
Practice Address - City:APACHE JUNCTION
Practice Address - State:AZ
Practice Address - Zip Code:85220-7416
Practice Address - Country:US
Practice Address - Phone:480-677-7562
Practice Address - Fax:480-983-4913
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN079547163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool