Individual
BROOKE GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1100 E WENDOVER AVE, GREENSBORO, NC 27405-6713
(336) 641-3245
Mailing address
223 BRADSTONE DR, WINSTON SALEM, NC 27107-6253
(336) 997-1323
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
218869
NC
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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