Provider Demographics
NPI:1851639074
Name:KAUR, MONIKA (LPN)
Entity type:Individual
Prefix:MISS
First Name:MONIKA
Middle Name:
Last Name:KAUR
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 1:5 MINERVA PL
Mailing Address - Street 2:APT. 3A
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-3929
Mailing Address - Country:US
Mailing Address - Phone:347-259-5714
Mailing Address - Fax:
Practice Address - Street 1:5 MINERVA PL
Practice Address - Street 2:APT. 3A
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-3929
Practice Address - Country:US
Practice Address - Phone:347-259-5714
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-23
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY309840-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse