Individual
BROOKE E GRAZIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1250 S CEDAR CREST BLVD STE 300, ALLENTOWN, PA 18103-6381
(610) 402-3110
(610) 402-3112
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 629-2282
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP024772
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP024772
STATE LICENSE
PA
Enumeration date
02/15/2022
Last updated
06/14/2022
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