Healthcare Provider Details

I. General information

NPI: 1639000557
Provider Name (Legal Business Name): MONICA ELIZABETH CAIN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E ELLSWORTH LN
BAYSIDE WI
53217-1827
US

IV. Provider business mailing address

601 E ELLSWORTH LN
BAYSIDE WI
53217-1827
US

V. Phone/Fax

Practice location:
  • Phone: 414-247-4226
  • Fax: 414-247-8963
Mailing address:
  • Phone: 414-247-4226
  • Fax: 414-247-8963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number162382-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: