Provider Demographics
NPI:1124424783
Name:MONROE, SARA NICOLE (MSN, APRN)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:NICOLE
Last Name:MONROE
Suffix:
Gender:F
Credentials:MSN, APRN
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:800 ROSE ST # H398
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0001
Mailing Address - Country:US
Mailing Address - Phone:859-323-3459
Mailing Address - Fax:859-257-5476
Practice Address - Street 1:800 ROSE ST
Practice Address - Street 2:H398 UK MEDICAL CENTER
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0001
Practice Address - Country:US
Practice Address - Phone:859-323-3459
Practice Address - Fax:859-257-5476
Is Sole Proprietor?:No
Enumeration Date:2014-11-10
Last Update Date:2014-11-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY3009086363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics