Monroe, Carol
Monroe, Carol is an individual health care provider with primary practice located at 2615 E 20Th St , Joplin MO 64804-1039. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Monroe, Carol can be contacted via phone (417) 624-4701.Contact Information
Primary practice address
2615 E 20Th St
Joplin MO 64804-1039
Phone: (417) 624-4701
Fax: (417) 624-9807
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 107694 | Missouri |
Profile Details
| NPI number | 1700835345 |
|---|---|
| LBN Legal business name | Monroe, Carol |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Jul 11th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700835345 | NPPES |
| Other | P00248185 | RR MEDICARE | |
| MEDICAID | 100052650A | RR MEDICARE | |
| MEDICAID | 428635916 | RR MEDICARE | |
| Other | 126077 | RR MEDICARE | |
| MEDICAID | 100314760C | RR MEDICARE |
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