Monique Brothern
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1962005363
StatusActive
Last updated in NPPESNov 18, 2020
Details
- NPI
- 1962005363
- Entity type
- Individual (NPI-1)
- Name
- Monique Brothern
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 18, 2020
- Certification date
- Nov 18, 2020
- Last updated
- Nov 18, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
| 372500000X | Chore Provider | – | – | |
| 372600000X | Adult Companion | – | – | |
| 3747A0650X | Technician, Attendant Care Provider | – | – |
Practice location
6725 S Eastern AveLas Vegas, NV 89119-3948
Phone 702-646-2722
Mailing address
6725 S Eastern AveLas Vegas, NV 89119-3948
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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