Individual
DR. BROOKE LAUREN FREDERICK-BACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP, RN
Contact information
Practice address
4764 E SUNRISE DR # 1038, TUCSON, AZ 85718-4535
(520) 703-6415
Mailing address
4764 E SUNRISE DR # 1038, TUCSON, AZ 85718-4535
(520) 703-6415
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
242311
AZ
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
242311
AZ
Other
Enumeration date
09/02/2021
Last updated
08/14/2024
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