MARYANN MONGE


Address: 140 Wilkesbarre St, Lackawanna, NY 14218-1146
Phone: 7168220877

MARYANN MONGE (NPI# 1124320403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124320403
Entity Type Individual
Full Name MARYANN MONGE
Credential RN
Practice Address 140 Wilkesbarre St
Lackawanna
NY 14218-1146
Practice Telephone 7168220877
Mailing Telephone 7168220877
Enumeration Date 2010-11-19
Last Update Date 2010-11-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WH0200X Registered Nurse
Specialization: Home Health
473427-1 NY Nursing Service Providers

Office Location

Street Address 140 WILKESBARRE ST
City LACKAWANNA
State NY
Zip Code 14218-1146

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 163WH0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Home Health

Taxonomy Definition

Definition to come...

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Competitor

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City LACKAWANNA
Zip Code 14218

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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