Monique Davis, BS, LPN, MHP is a
Licensed Practical Nurse based in Vienna, Illinois. Monique Davis is licensed to practice in Illinois (license number 043123568) and her current practice location is
300 Red Bud Ln, Vienna, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 658-3079.
NPI number for Monique Davis is 1164165783 and her current mailing address is 300 Red Bud Ln, Vienna, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164165783.
Healthcare Provider's Profile
Full Name | Monique Davis |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 300 Red Bud Ln, Vienna, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164165783
- Provider Enumeration Date: 04/20/2022
- Last Update Date: 04/20/2022
Medical Identifiers
Medical identifiers for Monique Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164165783 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
164W00000X | Licensed Practical Nurse | 043123568 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Monique Davis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Monique Davis, BS, LPN, MHP 300 Red Bud Ln, Vienna, IL 62995-1792 Ph: (618) 658-3079 | Monique Davis, BS, LPN, MHP 300 Red Bud Ln, Vienna, IL 62995-1792 Ph: (618) 658-3079 |
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