Individual
PAMELA DENISE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNFA
Contact information
Practice address
415 6TH ST, LEWISTON, ID 83501-2431
(208) 799-5400
(208) 799-5561
Mailing address
1512 14TH ST, LEWISTON, ID 83501-3606
(208) 799-5400
(208) 799-5561
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
N-20649
ID
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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