Healthcare Provider Details

I. General information

NPI: 1275271744
Provider Name (Legal Business Name): CHRISTINA NATALIA MONROE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2022
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 W. 40TH AVE
PINE BLUFF AR
71603
US

IV. Provider business mailing address

3462 CAPLAND AVE
CLERMONT FL
34711-5738
US

V. Phone/Fax

Practice location:
  • Phone: 870-541-6000
  • Fax:
Mailing address:
  • Phone: 870-541-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberE-19106
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number11087401
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: