Individual
KATHERINE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1241 BLOUNT AVE, GUNTERSVILLE, AL 35976-1831
(256) 582-6377
Mailing address
189 BERKSHIRE LANE, ALBERTVILLE, AL 35950-5908
(256) 840-3437
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1147057
AL
363LF0000X
Family Nurse Practitioner
Primary
1-147057
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163W00000X
NONE
AL
Enumeration date
01/18/2019
Last updated
10/30/2020
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