Individual
BROOKLYNN IMHOF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
643 CLINIC RD, HANNIBAL, MO 63401-3607
(573) 822-2982
Mailing address
260 GALA DR, HANNIBAL, MO 63401-2400
(573) 822-2982
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2023040629
MO
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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