Healthcare Provider Details

I. General information

NPI: 1629952940
Provider Name (Legal Business Name): MS. MONASEETA E HERRING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2025
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 SKYLANE DR
ALAMO NV
89001-2131
US

IV. Provider business mailing address

PO BOX 412
ALAMO NV
89001-0412
US

V. Phone/Fax

Practice location:
  • Phone: 702-376-4656
  • Fax:
Mailing address:
  • Phone: 702-376-4656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: