Individual
BROOKE MANTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP-BC
Contact information
Practice address
3201 S MARYLAND PKWY STE 218, LAS VEGAS, NV 89109-2424
(702) 862-8075
(702) 862-8077
Mailing address
6255 W SUNSET BLVD FL 21, LOS ANGELES, CA 90028-7422
(323) 860-5200
(323) 467-7119
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
845247
NV
Other
Enumeration date
09/21/2021
Last updated
05/07/2024
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