Individual
BROOKE NICOLE REDNER I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
63 GIFFORD ST N, BUTLER, NJ 07405-1302
(973) 934-1058
Mailing address
63 GIFFORD ST N, BUTLER, NJ 07405-1302
(973) 934-1058
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00344800
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
NJ
Other
Enumeration date
05/17/2023
Last updated
10/10/2025
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