Individual
BROOKE CARLYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP
Contact information
Practice address
123 SMITH AVE, SIKESTON, MO 63801-5239
(573) 471-0200
(573) 481-2209
Mailing address
123 SMITH AVE, SIKESTON, MO 63801-5239
(573) 471-0200
(573) 481-2209
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2018019839
MO
Other
Enumeration date
06/13/2018
Last updated
06/08/2020
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