Provider Demographics
NPI:1306004890
Name:STINSON, MONICA CHESHA (LVN)
Entity type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:CHESHA
Last Name:STINSON
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:MS
Other - First Name:MONICA
Other - Middle Name:CHESHA
Other - Last Name:STINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LVN
Mailing Address - Street 1:4851 KOKOMO DR
Mailing Address - Street 2:APT 7311
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95835-1840
Mailing Address - Country:US
Mailing Address - Phone:916-346-3103
Mailing Address - Fax:
Practice Address - Street 1:4851 KOKOMO DR
Practice Address - Street 2:APT 7311
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95835-1840
Practice Address - Country:US
Practice Address - Phone:916-346-3103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-30
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN195142164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse