Individual
REBECA MONROY TACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-NPC
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 572-3617
(859) 572-2326
Mailing address
PO BOX 638685, CINCINNATI, OH 45263-8685
(877) 882-5644
(833) 643-8146
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3008242
KY
363LF0000X
Family Nurse Practitioner
1054716
KY
363LF0000X
Family Nurse Practitioner
COA.14987-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100273070
—
KY
Enumeration date
08/22/2013
Last updated
04/03/2025
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