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NPI Code Detail

MEDICARE: DR. HEIDI MONROE DNP, APRN, AGCNS-BC

MEDICARE: DR. HEIDI MONROE DNP, APRN, AGCNS-BC
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
1364S00000XClinical Nurse Specialist2025053010MO

General Provider Information

NPI Number : 1710816590
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HEIDI MONROE DNP, APRN, AGCNS-BC
Provider Business Mailing Address
First Line : 10750 W WALNUT GROVE LN
Second Line :
City : ROCHEPORT
State : MO
Zip : 65279-9564
Country : US
Telephone Number : 573-355-8158
Fax Number :
Provider Business Practice Location Address
First Line : 1201 INTERNATIONAL DR
Second Line :
City : COLUMBIA
State : MO
Zip : 65202-1612
Country : US
Telephone Number : 855-970-2958
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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