Provider Demographics
NPI:1821197690
Name:ORDWAY, MONICA LYNN-ROOSA (CPNP)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:LYNN-ROOSA
Last Name:ORDWAY
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:400 WEST CAMPUS DR.
Mailing Address - Street 2:YALE UNIVERSITY SCHOOL OF NURSING
Mailing Address - City:ORANGE
Mailing Address - State:CT
Mailing Address - Zip Code:06477
Mailing Address - Country:US
Mailing Address - Phone:203-737-5354
Mailing Address - Fax:203-737-4480
Practice Address - Street 1:5520 PARK AVE
Practice Address - Street 2:YNHH PEDIATRIC CLINIC
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611
Practice Address - Country:US
Practice Address - Phone:203-785-4081
Practice Address - Fax:203-737-7635
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT001674208000000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics