Provider Demographics
NPI:1164249405
Name:KWOFIE, MONICA (RN)
Entity type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:
Last Name:KWOFIE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2523 COUNTRY MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-1757
Mailing Address - Country:US
Mailing Address - Phone:319-230-5618
Mailing Address - Fax:
Practice Address - Street 1:2523 COUNTRY MEADOW LN
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-1757
Practice Address - Country:US
Practice Address - Phone:319-230-5618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-25
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA180334163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health