Individual
BROOKE SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3590 LUCILLE DR, CINCINNATI, OH 45213
(513) 558-4194
Mailing address
PO BOX 636256, CINCINNATI, OH 45263-6256
(513) 245-3600
(513) 245-3672
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRNCNP022827
OH
363LF0000X
Family Nurse Practitioner
LE-00023030
OH
Other
Enumeration date
05/11/2018
Last updated
06/13/2018
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