Individual
NICOLE ANN BROOKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP, AGPCNP, BSN
Contact information
Practice address
3134 WENDELL BLVD, WENDELL, NC 27591-7271
(919) 374-7283
(919) 374-7285
Mailing address
3134 WENDELL BLVD, WENDELL, NC 27591-7271
(919) 374-7285
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5006823
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5006823
NC
Other
Enumeration date
01/22/2009
Last updated
10/02/2023
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