Individual
BROOKE BELLOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 SAINT FRANCIS DR, GREENVILLE, SC 29601-3955
(864) 255-1000
Mailing address
212 E BROAD ST APT 3124, GREENVILLE, SC 29601-3076
(720) 971-8627
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
2015035412
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
27593
SC
390200000X
Student in an Organized Health Care Education/Training Program
2015035412
MO
Other
Enumeration date
04/20/2023
Last updated
03/23/2024
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