Individual
MS. JUDY MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
421 N MAIN ST, LEEDS, MA 01053-9764
(413) 584-4040
Mailing address
192 HARTFORD RD, MANCHESTER, CT 06040-5923
(860) 977-3135
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
126101
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126101
REGISTERED NURSE LISCENCE
CT
Enumeration date
07/24/2017
Last updated
07/24/2017
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