Individual
BROOKE SHIHUI YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
7060 BELLTOLL CT, JOHNS CREEK, GA 30097-2510
(404) 279-2260
Mailing address
7060 BELLTOLL CT, JOHNS CREEK, GA 30097-2510
(404) 279-2260
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN237645
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
03/07/2019
Last updated
03/07/2019
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