Provider Demographics
NPI:1518840594
Name:MONZON, NOAHLANA (RD)
Entity type:Individual
Prefix:
First Name:NOAHLANA
Middle Name:
Last Name:MONZON
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 NE 17TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73111-1005
Mailing Address - Country:US
Mailing Address - Phone:417-622-9501
Mailing Address - Fax:
Practice Address - Street 1:1225 NE 17TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73111-1005
Practice Address - Country:US
Practice Address - Phone:417-622-9501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered