Individual
VICTORIA BROOKE DARTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4300 W MAIN ST STE 300, DOTHAN, AL 36305-1313
(334) 446-0076
(334) 446-0203
Mailing address
1414 ELBA HWY, TROY, AL 36079-6020
(334) 670-6726
(334) 670-6731
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-140162
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-140162
CRNP LICENSE
AL
01
—
10250I5295
MEDICARE
AL
05
—
208487
—
AL
Enumeration date
11/07/2017
Last updated
06/14/2022
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