Provider Demographics
NPI:1710928122
Name:MONDAY, STELLA MARIE (RN)
Entity Type:Individual
Prefix:MRS
First Name:STELLA
Middle Name:MARIE
Last Name:MONDAY
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 1:4899 WILLOW RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-0417
Mailing Address - Country:US
Mailing Address - Phone:513-737-0840
Mailing Address - Fax:513-737-9354
Practice Address - Street 1:4899 WILLOW RIDGE DR
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-0417
Practice Address - Country:US
Practice Address - Phone:513-737-0840
Practice Address - Fax:513-737-9354
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 261417163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHRN261417OtherRN LICENCE
OH2186021Medicaid