Individual
BROOKE A QUILTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
903 W MARTIN ST, SAN ANTONIO, TX 78207
(210) 358-5467
Mailing address
903 W MARTIN ST, SAN ANTONIO, TX 78207-0903
(210) 358-5467
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP129334
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP129334
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
368787301
—
TX
05
—
368787303
—
TX
01
—
562968YLLW
MEDICARE TPAN
TX
01
—
8527MB
BCBS
TX
Enumeration date
10/13/2015
Last updated
11/14/2019
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