Individual
KELLIE LANE BROOKSHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1951 W 25TH ST STE D, YUMA, AZ 85364-6924
(928) 344-6263
(928) 317-0544
Mailing address
1951 W 25TH ST STE D, YUMA, AZ 85364-6924
(928) 344-6263
(928) 317-0544
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RNP294682
AZ
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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