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KATLYN KRISTINE MONDAY AGPCNP-BC NPI 1508451717


NPI Information

NPI: 1508451717
Provider Name: KATLYN KRISTINE MONDAY, AGPCNP-BC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
2104 STUMPMIER RD
MONROE, MI
ZIP 48162
Phone: (734) 790-5640
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Katlyn Kristine Monday, AGPCNP-BC is an adult health nurse practitioner in Monroe, MI. Katlyn Kristine Monday, AGPCNP-BC NPI is 1508451717. 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:

2104 STUMPMIER RD
MONROE, MI
ZIP 48162-480
Phone: (734) 790-5640

The NPI 1508451717 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/9/2021 and was last updated on 11/17/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163W00000XRegistered Nurse4704321280MICHIGANNo
2363LA2200XNurse PractitionerAdult Health4704321280MICHIGANNo
3363LG0600XNurse PractitionerGerontology4704321280MICHIGANNo
4363LP2300XNurse PractitionerPrimary Care4704321280MICHIGANNo
5363LA2200XNurse PractitionerAdult Health95265458CALIFORNIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.