Individual
BROOKE WILKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC, RN
Contact information
Practice address
120 HAVEN AVE APT 25, NEW YORK, NY 10032-2638
(530) 848-0583
Mailing address
120 HAVEN AVE APT 25, NEW YORK, NY 10032-2638
(530) 848-0583
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
723746-1
NY
208000000X
Pediatrics Physician
Primary
F382818
NY
Other
Enumeration date
06/04/2017
Last updated
07/21/2022
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