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Individual
HEIDI L. BROOKS
Active
Individual
HEIDI L. BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN-RN; APRN-FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
111302
NE
363LF0000X
Family Nurse Practitioner
111302
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100262035-00
—
NE
05
—
100262036-00
—
NE
01
—
1598024804
WELLMARK
NE
05
—
1598024804
—
IA
05
—
470376604-32
—
NE
Enumeration date
05/07/2012
Last updated
12/16/2013
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