Provider Demographics
NPI:1205514304
Name:MILLER, MONIQUE SHANAY (BSN, RN-BC)
Entity type:Individual
Prefix:
First Name:MONIQUE
Middle Name:SHANAY
Last Name:MILLER
Suffix:
Gender:F
Credentials:BSN, RN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19411 JUNIPER VALE CIR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-2271
Mailing Address - Country:US
Mailing Address - Phone:832-891-1089
Mailing Address - Fax:713-364-4034
Practice Address - Street 1:3880 GREENHOUSE RD STE 420
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-3487
Practice Address - Country:US
Practice Address - Phone:832-891-1089
Practice Address - Fax:713-364-4034
Is Sole Proprietor?:No
Enumeration Date:2023-07-07
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX826777163WH0200X, 163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163WH0200XNursing Service ProvidersRegistered NurseHome Health