Individual
MR. BROOKS ROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, AGACNP-BC
Contact information
Practice address
260 LONG RIDGE RD, STAMFORD, CT 06902-1638
(475) 240-5762
Mailing address
25 GLENBROOK RD APT 320, STAMFORD, CT 06902-2873
(469) 352-4992
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
140542
CT
363LA2100X
Acute Care Nurse Practitioner
Primary
14372
CT
Other
Enumeration date
01/16/2025
Last updated
04/30/2025
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