Provider Demographics
NPI:1215335732
Name:MOUNT, MONICA GRIG (RN, ACNS)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:GRIG
Last Name:MOUNT
Suffix:
Gender:F
Credentials:RN, ACNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:597 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-3128
Mailing Address - Country:US
Mailing Address - Phone:617-905-5418
Mailing Address - Fax:
Practice Address - Street 1:597 MAIN ST
Practice Address - Street 2:
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-3128
Practice Address - Country:US
Practice Address - Phone:617-905-5418
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-16
Last Update Date:2024-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA264597364SA2100X
MARN264657163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAcute Care
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical