Basic Information
| Provider Information | |||||||||
| NPI: | 1568956381 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MONIEN | ||||||||
| FirstName: | YVONNE | ||||||||
| MiddleName: | I | ||||||||
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| Credential: | MSN, RN-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1500 N 34TH ST STE 100 | ||||||||
| Address2: | |||||||||
| City: | SUPERIOR | ||||||||
| State: | WI | ||||||||
| PostalCode: | 548804476 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7153928216 | ||||||||
| FaxNumber: | 7153926055 | ||||||||
| Practice Location | |||||||||
| Address1: | 810 E 4TH ST | ||||||||
| Address2: | |||||||||
| City: | DULUTH | ||||||||
| State: | MN | ||||||||
| PostalCode: | 558052147 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2187283931 | ||||||||
| FaxNumber: | 2183028728 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/15/2018 | ||||||||
| LastUpdateDate: | 10/03/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WC0400X | 111095 | WI | N | Nursing Service Providers | Registered Nurse | Case Management | 163WP0808X | 2266761 | MN | Y | Nursing Service Providers | Registered Nurse | Psych/Mental Health |
No ID Information.