Provider Demographics
NPI:1811156664
Name:ROY, MONIQUE A (INDEPENDENT PROVIDER)
Entity type:Individual
Prefix:
First Name:MONIQUE
Middle Name:A
Last Name:ROY
Suffix:
Gender:F
Credentials:INDEPENDENT PROVIDER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:437 HOWARD ST
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-3648
Mailing Address - Country:US
Mailing Address - Phone:419-889-4727
Mailing Address - Fax:
Practice Address - Street 1:437 HOWARD ST
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-3648
Practice Address - Country:US
Practice Address - Phone:419-889-4727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-06
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH379084800700374U00000X
OH2562178376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No374U00000XNursing Service Related ProvidersHome Health Aide