Individual
BROOKE ROCKAFELLOW BREEDLOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP-PC
Contact information
Practice address
706 AVENUE G, MARBLE FALLS, TX 78654-5866
(830) 201-8900
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(979) 691-3300
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP143649
TX
Other
Enumeration date
11/12/2019
Last updated
12/03/2021
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