Provider Demographics
NPI:1871180935
Name:CAREY, MONICA J (RN)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:J
Last Name:CAREY
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 1:7569 SE HOBE TER
Mailing Address - Street 2:
Mailing Address - City:HOBE SOUND
Mailing Address - State:FL
Mailing Address - Zip Code:33455-4610
Mailing Address - Country:US
Mailing Address - Phone:561-889-4676
Mailing Address - Fax:
Practice Address - Street 1:7569 SE HOBE TER
Practice Address - Street 2:
Practice Address - City:HOBE SOUND
Practice Address - State:FL
Practice Address - Zip Code:33455-4610
Practice Address - Country:US
Practice Address - Phone:561-889-4676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-23
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9232944163WP2201X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
No163WP2201XNursing Service ProvidersRegistered NurseAmbulatory CareGroup - Single Specialty