Healthcare Provider Details

I. General information

NPI: 1962283507
Provider Name (Legal Business Name): MONICA ROSE DENNISON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MISS MONICA ROSE PATRONE

II. Dates (important events)

Enumeration Date: 10/10/2023
Last Update Date: 01/08/2024
Certification Date: 01/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50701 CRAWFORD RD
WOODSFIELD OH
43793-9230
US

IV. Provider business mailing address

50701 CRAWFORD RD
WOODSFIELD OH
43793-9230
US

V. Phone/Fax

Practice location:
  • Phone: 174-062-1061
  • Fax:
Mailing address:
  • Phone: 740-621-0613
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number275017
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: