Provider Demographics
NPI:1205208063
Name:MONROIG, NICOLE D (ARNP)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:D
Last Name:MONROIG
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:D
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5401 S CONGRESS AVE STE 211
Mailing Address - Street 2:
Mailing Address - City:ATLANTIS
Mailing Address - State:FL
Mailing Address - Zip Code:33462-6637
Mailing Address - Country:US
Mailing Address - Phone:561-964-8221
Mailing Address - Fax:561-964-7393
Practice Address - Street 1:5401 S CONGRESS AVE STE 211
Practice Address - Street 2:
Practice Address - City:ATLANTIS
Practice Address - State:FL
Practice Address - Zip Code:33462-6637
Practice Address - Country:US
Practice Address - Phone:561-964-8221
Practice Address - Fax:561-964-7393
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-20
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9287325363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily