Individual
BROOKE ELAINE DABBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
200 HIGH PARK AVE, GOSHEN, IN 46526-4810
(574) 364-2888
(574) 364-2890
Mailing address
200 HIGH PARK AVE, GOSHEN, IN 46526-4810
(574) 364-2888
(574) 364-2890
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71004324A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201134390
—
IN
Enumeration date
11/02/2012
Last updated
01/20/2021
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