Individual
BROOKE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7101 JAHNKE RD, RICHMOND, VA 23225-4017
(919) 684-9307
Mailing address
101 BERRY CV, GEORGETOWN, TX 78628-1183
(512) 587-3773
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
856011
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
0024182596
VA
Other
Enumeration date
07/14/2021
Last updated
10/11/2023
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