# BROOKE ELLEN DREISS

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

## Provider details

- **NPI number:** 1386939288
- **Gender:** F
- **Credential:** FNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | AP120298 | TX | Yes |

## Other

- **Enumeration date:** 06/20/2011
- **Last updated:** 04/01/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 315303302 | — | TX |
| 05 | — | 315303303 | — | TX |
| 05 | — | 315303304 | — | TX |
| 05 | — | 315303305 | — | TX |
| 01 | — | 75-0818167-015 | TRICARE | TX |
| 01 | — | 75-0818167-022 | TRICARE | TX |
| 01 | — | 75-0818167-044 | TRICARE | TX |
| 01 | — | 75-0818167-048 | TRICARE | TX |
| 01 | — | 75-1976930-005 | TRICARE | TX |
| 01 | — | 75-2616977-001 | TRICARE | TX |
| 01 | — | 75-2616977-002 | TRICARE | TX |
| 01 | — | 75-2616977-028 | TRICARE | TX |
| 01 | — | 8505NF | BCBS | TX |
| 01 | — | 8506NF | BCBS | TX |
| 01 | — | 8507NF | BCBS | TX |
| 01 | — | 8508NF | BCBS | TX |