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Individual

MRS. BROOKE JUSTIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
19000 ST JOES PKWY STE 160, LIVONIA, MI 48152-1478
(734) 884-5200
(734) 466-5637
Mailing address
19000 ST JOES PKWY STE 160, LIVONIA, MI 48152-1478
(734) 884-5200

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
4704268691
MI
363LP0200X
Pediatric Nurse Practitioner
Primary
4704268691
MI

Other

Enumeration date
11/22/2013
Last updated
07/09/2025
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