MEDICARE: APRIL ANNE MONROE PMHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	7842667-4405	UT

General Provider Information

NPI Number	:	1396501227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	APRIL ANNE MONROE PMHNP

Provider Business Mailing Address
First Line	:	95 S 100 E STE 300
Second Line	:
City	:	PAYSON
State	:	UT
Zip	:	84651-2253
Country	:	US
Telephone Number	:	801-382-9338
Fax Number	:	801-383-0246

Provider Business Practice Location Address
First Line	:	2002 N MAIN ST STE 4
Second Line	:
City	:	CEDAR CITY
State	:	UT
Zip	:	84721-9812
Country	:	US
Telephone Number	:	801-382-9338
Fax Number	:	801-383-0246

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2024
Last Update Date	:	02/27/2024

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