Individual
BROOKE WOOLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8140 N MOPAC EXPY STE 3-210, AUSTIN, TX 78759-8859
(512) 343-2292
Mailing address
207 S MOODY AVE UNIT 1, TAMPA, FL 33609-3335
(561) 271-6476
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9409645
FL
163W00000X
Registered Nurse
978334
TX
367500000X
Certified Registered Nurse Anesthetist
129811
FL
367500000X
Certified Registered Nurse Anesthetist
145030
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
7369
NC
Other
Enumeration date
11/14/2019
Last updated
10/07/2024
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