Individual
MONIQUE JACQUELINE BRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
2510 E INDEPENDENCE ST, SHAWNEE, OK 74804-1839
(800) 942-2904
Mailing address
3545 NW 58TH ST, STE 450, OKLAHOMA CITY, OK 73112-4726
(405) 951-4370
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN0081023
OK
363LF0000X
Family Nurse Practitioner
K2009687
OK
363LF0000X
Family Nurse Practitioner
R81023
OK
Other
Enumeration date
04/18/2012
Last updated
01/16/2020
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