Provider Demographics
NPI:1811468010
Name:ROHR, MONICA RENEE (RN)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:RENEE
Last Name:ROHR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:R
Other - Last Name:HOUSTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:6 AMBASSADOR DR
Mailing Address - Street 2:
Mailing Address - City:VICTOR
Mailing Address - State:NY
Mailing Address - Zip Code:14564-1204
Mailing Address - Country:US
Mailing Address - Phone:585-472-0250
Mailing Address - Fax:
Practice Address - Street 1:6 AMBASSADOR DR
Practice Address - Street 2:
Practice Address - City:VICTOR
Practice Address - State:NY
Practice Address - Zip Code:14564-1204
Practice Address - Country:US
Practice Address - Phone:585-472-0250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY521639163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics