Provider Demographics
NPI:1629800131
Name:MONROE, JULIE (AGPCNP-BC, AGNP-C)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:MONROE
Suffix:
Gender:F
Credentials:AGPCNP-BC, AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 ELMWOOD CT
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-1962
Mailing Address - Country:US
Mailing Address - Phone:317-696-4598
Mailing Address - Fax:
Practice Address - Street 1:100 HOSPITAL LN STE 105
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:IN
Practice Address - Zip Code:46122-2000
Practice Address - Country:US
Practice Address - Phone:317-745-3333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-14
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71015634A363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care