Individual
WHITNEY R BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO 63703-5049
(573) 331-5318
(573) 331-5087
Mailing address
PO BOX 843225, KANSAS CITY, MO 64184-3225
(813) 262-8160
(813) 891-9066
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
15665
TN
363LN0005X
Critical Care Neonatal Nurse Practitioner
2012039968
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15665
LICENSE
TN
Enumeration date
02/17/2012
Last updated
08/14/2013
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