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Individual

MRS. BROOKE E. CARPENTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP-C

Contact information

Practice address
85 N GRAND AVE, FORT THOMAS, KY 41075-1793
(859) 912-7211
(859) 655-6674
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 912-7211
(859) 655-8981

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3007817
KY
363LF0000X
Family Nurse Practitioner
3007817
KY
363LF0000X
Family Nurse Practitioner
330723
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0080524
OH
05
7100239690
KY
01
P01516729
RR MEDICARE
KY
Enumeration date
02/05/2013
Last updated
08/01/2023
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