Provider Type Icon

MONE ANCRUM NPI 1043738362


NPI Information

NPI: 1043738362
Provider Name: MONE ANCRUM
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Individual
Address:
4245 WINDALE DR
LAWRENCEVILLE, GA
ZIP 30044
Phone: (678) 777-2665
Get Directions

Mone Ancrum is a prosthetic orthotic supplier in Lawrenceville, GA. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. Mone Ancrum NPI is 1043738362. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4245 WINDALE DR
LAWRENCEVILLE, GA
ZIP 30044-869
Phone: (678) 777-2665
Fax: (404) 393-0686

The enumeration date for this NPI number is 9/7/2017 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335E00000XProsthetic/Orthotic SupplierYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.