Provider Demographics
NPI:1043524895
Name:MONROE, DELIA G (ARNP-C)
Entity Type:Individual
Prefix:
First Name:DELIA
Middle Name:G
Last Name:MONROE
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:
Other - First Name:DELIA
Other - Middle Name:G
Other - Last Name:ESPAILLAT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP-C
Mailing Address - Street 1:PO BOX 635283
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-5283
Mailing Address - Country:US
Mailing Address - Phone:859-301-2000
Mailing Address - Fax:859-426-4140
Practice Address - Street 1:1 MEDICAL VILLAGE DRIVE
Practice Address - Street 2:
Practice Address - City:EDGEWOOD
Practice Address - State:KY
Practice Address - Zip Code:41017-3403
Practice Address - Country:US
Practice Address - Phone:859-301-2000
Practice Address - Fax:859-426-4140
Is Sole Proprietor?:No
Enumeration Date:2010-08-04
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP021882363LA2200X
KY3012892363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP01648883OtherRAILROAD MEDICARE PROVIDER NUMBER
FL0065215-00Medicaid
FLGM208YMedicare PIN