Provider Demographics
NPI:1720975550
Name:WEARREN, MONICA MICHELLE (RYT-200, MHA,)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:MICHELLE
Last Name:WEARREN
Suffix:
Gender:F
Credentials:RYT-200, MHA,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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Mailing Address - Street 1:4905 FLAME WAY
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46254-5958
Mailing Address - Country:US
Mailing Address - Phone:317-213-5937
Mailing Address - Fax:
Practice Address - Street 1:4405 ALLISONVILLE RD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46205-2415
Practice Address - Country:US
Practice Address - Phone:317-213-5937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor
No225CX0006XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorOrientation and Mobility Training Provider