Provider Demographics
NPI:1851893648
Name:RULE, MONIQUE DESIREE (FNP-C)
Entity Type:Individual
Prefix:
First Name:MONIQUE
Middle Name:DESIREE
Last Name:RULE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:MONIQUE
Other - Middle Name:DESIREE
Other - Last Name:SANDOVAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:736 FOREST ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-5155
Mailing Address - Country:US
Mailing Address - Phone:303-570-3065
Mailing Address - Fax:
Practice Address - Street 1:9005 GRANT ST STE 200
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-4384
Practice Address - Country:US
Practice Address - Phone:303-287-2800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-07
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0993405363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner