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Monica Elizabeth Dugan

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

3825 Edwards Rd Ste 300, Cincinnati, OH 45209-1288

PECOS Enrollment

Based on the most recent information from CMS, provider Monica Elizabeth Dugan does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1790073179
Provider Type
Individual
Full Name
Dugan, Monica Elizabeth
Credential
CNP,RN, BSN, CCRN

Gender
Female
Sole Proprietor
No
Enumeration Date
7/19/2011
Last Updated
7/1/2020

Contact Information

Practice Location

3825 Edwards Rd Ste 300, Cincinnati, OH 45209-1288

(513) 221-1100

(513) 684-4501

Mailing Location

PO Box 643398, Cincinnati, OH 45264-3398

(513) 221-1100

(513) 684-4501

Provider Taxonomies

Code	Description	License
Code 363LA2100X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 14496 Ohio
Code 163WC0200X	Description Registered Nurse Nursing Service Providers	License R193147 Maryland
Code 363LA2100X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 3011158 Kentucky

Provider Identifiers

ID	Description	Issuer
ID 0089934	Description Medicaid	Issuer Unlisted Ohio

Monica Elizabeth Dugan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Sobol, Stephanie

Beckington, Jody Lynn