Individual
BROOKE HEIPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
16 ROSE STREET, JOHNSTOWN, PA 15905-4327
(814) 539-0257
(814) 536-0963
Mailing address
16 ROSE STREET, JOHNSTOWN, PA 15905-4327
(814) 539-0257
(814) 536-0963
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP020421
PA
363LA2100X
Acute Care Nurse Practitioner
Primary
SO020421
PA
363LP2300X
Primary Care Nurse Practitioner
SP020421
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SP020421
—
PA
Enumeration date
07/03/2019
Last updated
01/18/2024
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