Patricia A Monroe, CNP
Individual provider Active NPI Family Nurse Practitioner · Acoma, NM
NPI 1124491949 · NPPES record last updated Sep 7, 2022
Key facts
- NPI
- 1124491949
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 277.002007 (IL)
- Practice address
- 80 B Veterans Blvd
Acoma, NM 87034 - Phone
- (505) 552-5300
- Fax
- (505) 552-5490
- NPI assigned
- Nov 2, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209013507 | IL | MD | Family Nurse Practitioner |
| 277.002007 | IL | MD | Family Nurse Practitioner |
| 3009897 | KY | MD | Family Nurse Practitioner |
Interoperability endpoints
- patricia.monroet@115443077021700.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209013507 | IL | |
| Family Nurse Practitioner | 363LF0000X | 3009897 | KY | |
| Family Nurse Practitioner | 363LF0000X | 277.002007 | IL | Yes |
Addresses
Primary practice location
80 B Veterans Blvd
Acoma, NM 87034
Mailing address
16760 Hardwood LN
Saint Robert, MO 65584-9411
Phone (618) 210-2796
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H3451 | Medicaid | NM |
Other providers in Acoma, NM
- Heather Masten
- Janet I McMahon
- Halea Kala Meese
- Stephanie Michel
- Billye Moffatt
- Roberto Carlos Montes
- Joseph W Morris
- Mary E Moyer
- David Nguyen
- Folake O Oluokun
All providers in Acoma, NM · Family Nurse Practitioner in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.