Provider Demographics
NPI:1215286505
Name:MONROE, RONALEE ANN (RN)
Entity type:Individual
Prefix:
First Name:RONALEE
Middle Name:ANN
Last Name:MONROE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N6081 ZIEBELL RD
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:WI
Mailing Address - Zip Code:53549-9408
Mailing Address - Country:US
Mailing Address - Phone:920-251-6898
Mailing Address - Fax:920-699-4041
Practice Address - Street 1:N6081 ZIEBELL RD
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:WI
Practice Address - Zip Code:53549-9408
Practice Address - Country:US
Practice Address - Phone:920-251-6898
Practice Address - Fax:920-699-4041
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-03
Last Update Date:2012-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI63188-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse