Provider Demographics
NPI:1962283507
Name:DENNISON, MONICA ROSE (RN)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:ROSE
Last Name:DENNISON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:MONICA
Other - Middle Name:ROSE
Other - Last Name:PATRONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:50701 CRAWFORD RD
Mailing Address - Street 2:
Mailing Address - City:WOODSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:43793-9230
Mailing Address - Country:US
Mailing Address - Phone:740-621-0613
Mailing Address - Fax:
Practice Address - Street 1:50701 CRAWFORD RD
Practice Address - Street 2:
Practice Address - City:WOODSFIELD
Practice Address - State:OH
Practice Address - Zip Code:43793-9230
Practice Address - Country:US
Practice Address - Phone:174-062-1061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-10
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH275017163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health