| Doctor Name: | JUANITA ELISE MONROE |
| NPI Number: | 1104264803 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | A-088-007 |
| Business Practice Address: | 515 4th St Liberal, KS - 67901 |
| Business Phone Number: | 5804616127 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1694, LIBERAL |
| State: | KS |
| Postal Code: | 679051694 |
| Phone Number: | 5804616127 |
| Fax Number: | |
| NPI Enumeration Date: | 06/05/2013 |
| NPI Last Update Date: | 06/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | A-088-007 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |