Washburn, Monica Lee
Washburn, Monica Lee is an individual health care provider with primary practice located at 1633 N Capitol Ave Ste 322, Indianapolis IN 46202-1261. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Washburn, Monica Lee can be contacted via phone (317) 962-2929.Contact Information
Primary practice address
1633 N Capitol Ave Ste 322
Indianapolis IN 46202-1261
Phone: (317) 962-2929
Fax: (317) 962-2070
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 71002183A | Indiana |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 71003183A | Indiana |
Profile Details
NPI number | 1033449905 |
---|---|
LBN Legal business name | Washburn, Monica Lee |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 28th, 2009 |
Last updated | Feb 24th, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033449905 | NPPES |
Indiana | MEDICAID | 200975390 |
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