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Individual

MRS. BROOKE ANN MCBRIDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
30 E APPLE ST, STE NW 3300, DAYTON, OH 45409-2939
(937) 208-8394
Mailing address
30 E APPLE ST, STE NW 3300, DAYTON, OH 45409-2939
(937) 208-8394

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
COA.17514-NP
OH
363LA2100X
Acute Care Nurse Practitioner
RN.326755
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0137103
OH
Enumeration date
06/08/2015
Last updated
07/19/2024
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