Individual
MRS. DENISE POLEN BROOKS
Active
Individual
MRS. DENISE POLEN BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
4543P
KY
363LA2200X
Adult Health Nurse Practitioner
Primary
71001986A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4543P
ARNP
KY
01
—
71001986A
NP
IN
Enumeration date
03/17/2006
Last updated
07/08/2007
Update your record
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