Individual
JUANITA ELISE MONROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
515 4TH ST, LIBERAL, KS 67901
(580) 461-6127
Mailing address
PO BOX 1694, LIBERAL, KS 67905-1694
(580) 461-6127
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
A-088-007
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163WHO200X
—
KS
Enumeration date
06/05/2013
Last updated
06/05/2013
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