Individual
BROOKE A EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP-FNP
Contact information
Practice address
240 N WICKHAM RD STE 102, MELBOURNE, FL 32935-8663
(321) 541-1777
(321) 541-1787
Mailing address
240 N WICKHAM RD STE 102, MELBOURNE, FL 32935-8663
(321) 541-1777
(321) 541-1787
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
875500
NV
363L00000X
Nurse Practitioner
875500
NV
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11041941
FL
Other
Enumeration date
07/24/2018
Last updated
01/09/2026
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