Individual
BROOKE SHANNON HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5419 N LOVINGTON HWY, HOBBS, NM 88240-9125
(575) 492-5000
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
57334
NM
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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