Healthcare Provider Details

I. General information

NPI: 1841913811
Provider Name (Legal Business Name): MONICA LYNN GOLDEN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2022
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1029 S TRIMBLE RD
MANSFIELD OH
44906-3427
US

IV. Provider business mailing address

3344 TOWNSHIP ROAD 124
CARDINGTON OH
43315-9379
US

V. Phone/Fax

Practice location:
  • Phone: 419-522-3341
  • Fax:
Mailing address:
  • Phone: 260-452-5049
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAPRN.CNP.0034845
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: