Washburn, Monica Lee

Washburn, Monica Lee is an individual health care provider with primary practice located at 1633 N Capitol Ave Ste 322, Indianapolis IN 46202-1261. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Washburn, Monica Lee can be contacted via phone (317) 962-2929.

Contact Information

Primary practice address
1633 N Capitol Ave Ste 322 Indianapolis IN 46202-1261
Phone: (317) 962-2929
Fax: (317) 962-2070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 71002183A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71003183A Indiana

Profile Details

NPI number 1033449905
LBN Legal business name Washburn, Monica Lee
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2009
Last updated Feb 24th, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033449905 NPPES
Indiana MEDICAID 200975390

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