Individual
DIANE LYNN BROOKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6001 W NORTH AVE, MILWAUKEE, WI 53213-1527
(414) 771-6315
(414) 771-6311
Mailing address
1522 IRVING PL, WAUKESHA, WI 53188-2236
(262) 366-7894
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7638-33
WI
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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