Individual
BRENDA LYNE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1153 BURGOYNE AVE, FORT EDWARD, NY 12828-1137
(518) 747-2121
Mailing address
1153 BURGOYNE AVE, FORT EDWARD, NY 12828-1137
(518) 747-2121
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
382785-1
NY
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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