Provider Demographics
NPI:1831914548
Name:PINKNEY, MONIQUE C
Entity type:Individual
Prefix:MS
First Name:MONIQUE
Middle Name:C
Last Name:PINKNEY
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 1:163 CLAREMONT AVE NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44708-4190
Mailing Address - Country:US
Mailing Address - Phone:330-244-6804
Mailing Address - Fax:
Practice Address - Street 1:163 CLAREMONT AVE NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44708-4190
Practice Address - Country:US
Practice Address - Phone:330-244-6804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide