Individual
MELISSA LEE BROOKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
128 LAKESIDE AVE STE 115, BURLINGTON, VT 05401-4936
(802) 860-1928
Mailing address
128 LAKESIDE AVE STE 115, BURLINGTON, VT 05401-4936
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1010134474
VT
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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