Individual
KIWANA TRECHELLE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3501 GULF SHORES PKWY, GULF SHORES, AL 36542-5710
(251) 300-7134
Mailing address
3737 GOVERNMENT BLVD STE 203, MOBILE, AL 36693-4310
(251) 300-7314
(251) 202-7851
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-103823
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
11001515
FL
Other
Enumeration date
02/26/2019
Last updated
06/30/2021
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