Provider Demographics
NPI:1174393466
Name:MONROE, CRISTINA MARIA (APRN - FNP - C)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:MARIA
Last Name:MONROE
Suffix:
Gender:F
Credentials:APRN - FNP - C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10285 GROVE LN
Mailing Address - Street 2:
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33328-4009
Mailing Address - Country:US
Mailing Address - Phone:786-376-9754
Mailing Address - Fax:
Practice Address - Street 1:10285 GROVE LN
Practice Address - Street 2:
Practice Address - City:COOPER CITY
Practice Address - State:FL
Practice Address - Zip Code:33328-4009
Practice Address - Country:US
Practice Address - Phone:786-376-9754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11030171207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine