Individual
BROOKE HERETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
2475 BROADWAY BLUFFS DR, COLUMBIA, MO 65201-8148
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(844) 853-8937
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2019023142
MO
363LF0000X
Family Nurse Practitioner
Primary
2024021041
MO
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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