Healthcare Provider Details

I. General information

NPI: 1245036334
Provider Name (Legal Business Name): MONARCH MEDICAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2025
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7986 S ORILLA RD
CUMMING IA
50061-5807
US

IV. Provider business mailing address

PO BOX 131
CUMMING IA
50061-0131
US

V. Phone/Fax

Practice location:
  • Phone: 515-200-2124
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LAURA JETTER
Title or Position: OWNER
Credential: ARNP
Phone: 515-238-2339