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Individual

AMY LYNN BROOKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
50 MEDICAL PARK DR E, BIRMINGHAM, AL 35235-3401
(205) 838-3000
Mailing address
50 MEDICAL PARK DR E, BIRMINGHAM, AL 35235-3401
(205) 838-3000

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1061550
AL
363LA2200X
Adult Health Nurse Practitioner
Primary
1061550
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051118658
BCBS
AL
05
06654305
MS
05
130553
AL
Enumeration date
01/15/2008
Last updated
12/11/2015
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