# BROOKVILLE EXPRESS CARE & WELLNESS CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144047440
- **Authorized official:** MRS. SHELBY GONSALES APRN-CNP (NURSE PRACTITIONER)
- **Authorized official phone:** (937) 867-7700

## Contact information

- **Practice address:** 430 ARLINGTON RD STE B, BROOKVILLE, OH 45309-1103
- **Practice address phone:** (937) 641-9389
- **Mailing address:** 430 ARLINGTON RD STE B, BROOKVILLE, OH 45309-1103
- **Mailing address phone:** (937) 741-4888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |

## Other

- **Enumeration date:** 09/26/2024
- **Last updated:** 04/09/2025