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Individual

BROOKE MICHELLE ERVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1401 MATTHEWS TOWNSHIP PKWY STE 312, MATTHEWS, NC 28105
(704) 316-9001
(704) 316-9008
Mailing address
40 MEDICINE CIRCLE CLINIC 1L, DURHAM, NC 27710-0001
(919) 681-1700
(919) 668-1294

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
161919
NC
363L00000X
Nurse Practitioner
Primary
5003350
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1891988077
NPI
NC
Enumeration date
08/22/2007
Last updated
06/26/2024
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