Individual
BROOKE STAMPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
715 RICHLAND MALL, ONTARIO, OH 44906-3802
(419) 709-8667
Mailing address
700 N COLUMBUS ST, CRESTLINE, OH 44827-1455
(419) 462-3485
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN.CNP.020348
OH
363LX0106X
Occupational Health Nurse Practitioner
Primary
APRN.CNP.020348
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0117339
—
OH
Enumeration date
12/27/2016
Last updated
02/28/2025
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