Provider Demographics
NPI:1316823461
Name:RECKLEY, MONALISA KAYTRINA (CNA/MEDICATION TECH)
Entity type:Individual
Prefix:MRS
First Name:MONALISA
Middle Name:KAYTRINA
Last Name:RECKLEY
Suffix:
Gender:F
Credentials:CNA/MEDICATION TECH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1227 CITIZENS PKWY APT 201
Mailing Address - Street 2:
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34288-3728
Mailing Address - Country:US
Mailing Address - Phone:941-929-4883
Mailing Address - Fax:941-929-4883
Practice Address - Street 1:1227 CITIZENS PKWY APT 201
Practice Address - Street 2:
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34288-3728
Practice Address - Country:US
Practice Address - Phone:941-929-4883
Practice Address - Fax:941-929-4883
Is Sole Proprietor?:No
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCNA160206376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide