Individual
MRS. CONNIE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
46 WESLEY RD, DALEVILLE, VA 24083-3082
(540) 591-9456
Mailing address
46 WESLEY RD, DALEVILLE, VA 24083-3082
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024173956
VA
363LF0000X
Family Nurse Practitioner
0024173956
VA
Other
Enumeration date
11/11/2016
Last updated
02/04/2019
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