Individual
MRS. SANDRA KAY BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.P.
Contact information
Practice address
6300 HIGHWAY 55, GOLDEN VALLEY, MN 55427-4946
(800) 896-8936
Mailing address
12841 JONQUIL ST NW, COON RAPIDS, MN 55448-1193
(763) 421-3097
(763) 421-3119
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
95857
CO
363LG0600X
Gerontology Nurse Practitioner
Primary
R 173905-3
MN
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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