MONICA MICHELE ROADRUCK NP NPI 1053886788

NPI Information

NPI: 1053886788
Provider Name: MONICA MICHELE ROADRUCK, NP
Classification: Nurse Practitioner - 363LX0106X
Entity Type: Individual

Specialization: Occupational Health

Address:
3218 DAUGHERTY DR STE 140
LAFAYETTE, IN
ZIP 47909
Phone: (765) 502-4190
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Monica Michele Roadruck, NP is an occupational health nurse practitioner in Lafayette, IN. Monica Michele Roadruck, NP NPI is 1053886788. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3218 DAUGHERTY DR STE 140
LAFAYETTE, IN
ZIP 47909-997
Phone: (765) 502-4190
Fax: (765) 502-4191

The enumeration date for this NPI number is 10/9/2018 and was last updated on 12/9/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LX0106X	Nurse Practitioner	Occupational Health	71008438A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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