Individual
JANET IRERE BROOKOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1602 SKIPWITH RD, RICHMOND, VA 23229-5205
(804) 289-4937
(804) 565-6600
Mailing address
1701 ROLFIELD WAY, RICHMOND, VA 23238-5832
(804) 750-1929
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0024155330
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
1635
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
SC
Enumeration date
08/09/2005
Last updated
01/14/2017
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