| Doctor Name: | PATRICIA MONROE |
| NPI Number: | 1124491949 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | 209013507 |
| Business Practice Address: | 1510 Sunset Dr Vandalia, IL - 624713228 |
| Business Phone Number: | 6182833144 |
| Business Fax Number: | 6182833194 |
| Mailing Address: | 1510 Sunset Dr, VANDALIA |
| State: | IL |
| Postal Code: | 624713228 |
| Phone Number: | 6182833144 |
| Fax Number: | 6182833194 |
| NPI Enumeration Date: | 11/02/2015 |
| NPI Last Update Date: | 04/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 209013507 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |