Healthcare Provider Details

I. General information

NPI: 1679366645
Provider Name (Legal Business Name): MONICA SHARNISE LAWRENCE-CHAMBERS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MONICA CHAMBERS RN

II. Dates (important events)

Enumeration Date: 05/23/2025
Last Update Date: 05/23/2025
Certification Date: 05/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 CEDAR LN STE 3B
TEANECK NJ
07666-3441
US

IV. Provider business mailing address

310 CEDAR LN STE 3B
TEANECK NJ
07666-3441
US

V. Phone/Fax

Practice location:
  • Phone: 201-541-8600
  • Fax: 201-541-8100
Mailing address:
  • Phone: 201-541-8600
  • Fax: 201-541-8100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number873518
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: