Provider Demographics
NPI:1285065359
Name:DANLEY, MONIQUE (LPN)
Entity type:Individual
Prefix:
First Name:MONIQUE
Middle Name:
Last Name:DANLEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 N TYLER RD
Mailing Address - Street 2:APT 515
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67212-3676
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:505 N TYLER RD
Practice Address - Street 2:APT 515
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67212-3676
Practice Address - Country:US
Practice Address - Phone:907-350-7031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-27
Last Update Date:2013-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK6945164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse