Individual
MRS. ANNETTE MICHELLE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN PSC
Contact information
Practice address
2187 POYNTER RD, GLASGOW, KY 42141-8000
(270) 670-4348
(270) 710-1408
Mailing address
2187 POYNTER RD, GLASGOW, KY 42141-8000
(270) 670-4348
(270) 710-1408
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1060954
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1769
FIRST STEPS PROVIDER #
KY
Enumeration date
10/25/2006
Last updated
07/08/2007
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