Monroe, Racquel

Monroe, Racquel is an individual health care provider with primary practice located at 434 S Kingsboro Ave Ste 102 , Johnstown NY 12095-3822. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Monroe, Racquel can be contacted via phone (518) 773-4242.

Contact Information

Primary practice address
434 S Kingsboro Ave Ste 102 Johnstown NY 12095-3822
Phone: (518) 773-4242
Fax: (518) 773-4246
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F340964 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 340964 New York

Profile Details

NPI number 1861948150
LBN Legal business name Monroe, Racquel
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2016
Last updated Oct 25th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861948150 NPPES
New York MEDICAID 02049750

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