MEDICARE: ERIN MONROE RN, CNS

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
1	364SP0200X	Pediatric Clinical Nurse Specialist	COA,07267-NS	OH
2	364SP0807X	Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist	COA.07267-NS	OH

General Provider Information

NPI Number	:	1972551711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN MONROE RN, CNS

Provider Business Mailing Address
First Line	:	3333 BURNET AVE
Second Line	:	ML 5021
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3026
Country	:	US
Telephone Number	:	513-636-5013
Fax Number	:	866-213-7084

Provider Business Practice Location Address
First Line	:	3333 BURNET AVE
Second Line	:	ML 3014
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3026
Country	:	US
Telephone Number	:	513-636-4788
Fax Number	:	513-636-4283

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	08/10/2015

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