Individual
BROOKE WELLS FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 GREENE ST, COLUMBIA, SC 29208-4001
Mailing address
1601 GREENE ST, COLUMBIA, SC 29208-4001
(803) 777-7412
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
1191646
TX
363LA2200X
Adult Health Nurse Practitioner
2025002510
MO
363LA2200X
Adult Health Nurse Practitioner
239843
LA
363LA2200X
Adult Health Nurse Practitioner
Primary
24569
SC
363LA2200X
Adult Health Nurse Practitioner
5021742
NC
363LA2200X
Adult Health Nurse Practitioner
H183569
IA
363LA2200X
Adult Health Nurse Practitioner
RN10022445
MA
363LA2200X
Adult Health Nurse Practitioner
SP032330
PA
Other
Enumeration date
05/11/2020
Last updated
06/02/2025
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