Individual
MRS. ANNE LUCY BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, PMHNP-BC
Contact information
Practice address
289 SHILOH RD, FOREST CITY, NC 28043
(828) 305-7787
(828) 744-0001
Mailing address
289 SHILOH RD, FOREST CITY, NC 28043
(828) 305-7787
(828) 744-0001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201127
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
201127
NC
363LP2300X
Primary Care Nurse Practitioner
201127
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7003516
—
NC
Enumeration date
12/01/2006
Last updated
05/03/2022
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