Provider Demographics
NPI:1609170638
Name:MONROE, AMBER ASHLEE
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:ASHLEE
Last Name:MONROE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:ASHLEE
Other - Last Name:KUHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:730 W WILSHIRE BLVD STE 114
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-7738
Mailing Address - Country:US
Mailing Address - Phone:405-843-4673
Mailing Address - Fax:
Practice Address - Street 1:730 W WILSHIRE BLVD STE 114
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-7738
Practice Address - Country:US
Practice Address - Phone:405-843-4673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-05
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator