Healthcare Provider Details

I. General information

NPI: 1386892552
Provider Name (Legal Business Name): MONIQUE CURTIS R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2008
Last Update Date: 08/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 DUNNETT CT
NOTTINGHAM MD
21236-3312
US

IV. Provider business mailing address

10 DUNNETT CT
NOTTINGHAM MD
21236-3312
US

V. Phone/Fax

Practice location:
  • Phone: 443-844-2220
  • Fax:
Mailing address:
  • Phone: 443-844-2220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WA0400X
TaxonomyAddiction (Substance Use Disorder) Registered Nurse
License NumberR170807
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberR170807
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberR170807
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code163WX0800X
TaxonomyOrthopedic Registered Nurse
License NumberR170807
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: