Individual
MARY KATHLEEN BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1345 PLANTATION RD NE, ROANOKE, VA 24012-5712
(833) 510-4357
Mailing address
615 ELSINORE PL STE 200, CINCINNATI, OH 45202-1457
(513) 834-7063
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024174958
VA
363LA2200X
Adult Health Nurse Practitioner
14262-NP
OH
Other
Enumeration date
01/24/2013
Last updated
06/14/2022
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