Provider Demographics
NPI:1003426669
Name:MONROY, BRICEYDA BERENICE
Entity Type:Individual
Prefix:
First Name:BRICEYDA
Middle Name:BERENICE
Last Name:MONROY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2806 ABERDEEN RD
Mailing Address - Street 2:
Mailing Address - City:SEAGOVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75159-5467
Mailing Address - Country:US
Mailing Address - Phone:469-363-7933
Mailing Address - Fax:
Practice Address - Street 1:2806 ABERDEEN RD
Practice Address - Street 2:
Practice Address - City:SEAGOVILLE
Practice Address - State:TX
Practice Address - Zip Code:75159-5467
Practice Address - Country:US
Practice Address - Phone:469-363-7933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-07
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX977069163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse