Healthcare Provider Details

I. General information

NPI: 1043524895
Provider Name (Legal Business Name): DELIA G MONROE ARNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DELIA G ESPAILLAT ARNP-C

II. Dates (important events)

Enumeration Date: 08/04/2010
Last Update Date: 11/25/2024
Certification Date: 11/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL VILLAGE DRIVE
EDGEWOOD KY
41017-3403
US

IV. Provider business mailing address

1750 17TH ST STE G
SARASOTA FL
34234-8666
US

V. Phone/Fax

Practice location:
  • Phone: 859-301-2000
  • Fax: 859-426-4140
Mailing address:
  • Phone: 941-732-6837
  • Fax: 941-331-2540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number3012892
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN.CNP021882
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: