Healthcare Provider Details

I. General information

NPI: 1851214266
Provider Name (Legal Business Name): PAYTON MONROE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6323 MAVERICK PLAZA
OMAHA NE
68154
US

IV. Provider business mailing address

601 LANCASTER CIR
SIOUX CITY IA
51103-5737
US

V. Phone/Fax

Practice location:
  • Phone: 712-490-4731
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: