Individual
BROOKE R BLAKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 WESTFIELD AVE, ELIZABETH, NJ 07208-1621
(908) 677-5900
Mailing address
123 JEROME ST APT D, ROSELLE PARK, NJ 07204-1463
(973) 517-8079
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ15022100
NJ
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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