Individual
BROOKE SKAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6742 N FROSTWOOD PKWY, PEORIA, IL 61615-2402
(309) 692-5393
(309) 683-9998
Mailing address
6742 N FROSTWOOD PKWY, PEORIA, IL 61615-2402
(309) 692-5393
(309) 683-9998
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209029910
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/31/2023
Last updated
06/21/2024
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