Healthcare Provider Details

I. General information

NPI: 1013296599
Provider Name (Legal Business Name): MONIQUE JENEEN MAJEWSKI CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2011
Last Update Date: 08/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4126 N HOLLAND SYLVANIA RD SUITE 200
TOLEDO OH
43623-3536
US

IV. Provider business mailing address

4126 N HOLLAND SYLVANIA RD SUITE 200
TOLEDO OH
43623-3536
US

V. Phone/Fax

Practice location:
  • Phone: 419-473-3257
  • Fax: 419-517-0230
Mailing address:
  • Phone: 419-473-3257
  • Fax: 419-517-0230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.290411-COA1
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCOA.12480-NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: