Individual
PENNY MARIE BROOKOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
6100 HARRIS PKWY, SUITE 250, FORT WORTH, TX 76132-4101
(817) 263-8800
Mailing address
6100 HARRIS PKWY, SUITE 250, FORT WORTH, TX 76132-4101
(817) 263-8800
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
573034
TX
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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