Provider Demographics
NPI:1043342785
Name:MONROE, CHRISTY M (LPN)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:M
Last Name:MONROE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:CHRISTY
Other - Middle Name:M
Other - Last Name:DAILEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPN
Mailing Address - Street 1:2416 SOUTHVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37803-6635
Mailing Address - Country:US
Mailing Address - Phone:865-684-3353
Mailing Address - Fax:
Practice Address - Street 1:210 SIMMONS ST
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37801-4750
Practice Address - Country:US
Practice Address - Phone:865-374-7100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN61265164W00000X
TN0000061265164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse