# BROOKE DONAHUE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1093479396
- **Gender:** F
- **Credential:** MSN, AG-ACNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | H166526 | IA | Yes |
| 363LA2100X | Acute Care Nurse Practitioner | 113842 | NE | — |
| 363LA2100X | Acute Care Nurse Practitioner | H166526 | IA | — |

## Other

- **Enumeration date:** 10/24/2021
- **Last updated:** 09/30/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | H14050347 | DRIVER'S LICENSE NUMBER | NE |