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Individual

ALLISON D BROOKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
10465 SPARROW CT, MORENO VALLEY, CA 92557-2781
(503) 536-3827
Mailing address
10465 SPARROW CT, MORENO VALLEY, CA 92557-2781
(503) 536-3827

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
455670
CA
363LA2100X
Acute Care Nurse Practitioner
201050037NP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19378
CALIFORNIA NPF
CA
01
201050037NP
NURSE PRACTITIONER LICENSE
OR
Enumeration date
11/24/2009
Last updated
10/15/2024
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