Provider Demographics
NPI:1750983839
Name:LOUIS, MONET MONIQUE
Entity type:Individual
Prefix:MS
First Name:MONET
Middle Name:MONIQUE
Last Name:LOUIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5526 LAUREL RIDGE LN APT 83
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34116-4954
Mailing Address - Country:US
Mailing Address - Phone:239-404-7672
Mailing Address - Fax:
Practice Address - Street 1:205 BENSON ST # 83
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34113-8541
Practice Address - Country:US
Practice Address - Phone:239-404-7672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-12
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide