Provider Demographics
NPI:1306664388
Name:MONETTE WELLNESS CARE SERVICES LLC
Entity type:Organization
Organization Name:MONETTE WELLNESS CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MONETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAR
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:513-888-7851
Mailing Address - Street 1:2416 CANTERBURY AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45237-4911
Mailing Address - Country:US
Mailing Address - Phone:513-888-7851
Mailing Address - Fax:
Practice Address - Street 1:2416 CANTERBURY AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45237-4911
Practice Address - Country:US
Practice Address - Phone:513-888-7851
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty