Individual
MONICA M CLARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-2250
(859) 572-2326
Mailing address
PO BOX 18667, ERLANGER, KY 41018-0667
(859) 572-3617
(859) 572-2326
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3008222
KY
363LF0000X
Family Nurse Practitioner
3008222
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0222723
—
OH
05
—
7100263930
—
KY
Enumeration date
07/18/2013
Last updated
05/27/2021
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