Individual
KATHY JEAN MONROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
11706 TAMPA GATEWAY BLVD, SEFFNER, FL 33584-3038
(813) 626-3926
(813) 626-3938
Mailing address
11706 TAMPA GATEWAY BLVD, SEFFNER, FL 33584-3038
(813) 626-3926
(813) 626-3938
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9333500
FL
363LA2200X
Adult Health Nurse Practitioner
720905
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009196200
—
FL
01
—
HM986W
RR MCR
FL
01
—
Y0J94
BCBS
FL
Enumeration date
02/12/2007
Last updated
09/28/2020
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