Individual
TERRY ANN BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3109 FRENCH HILL DR, POWHATAN, VA 23139-4527
(804) 397-0156
Mailing address
3109 FRENCH HILL DR, POWHATAN, VA 23139-4527
(804) 397-0156
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024094652
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010192544
—
VA
Enumeration date
05/15/2006
Last updated
05/16/2013
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