Individual
MICHELLE BROOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
5221 STRATFORD AVE, POWELL, OH 43065-8799
(614) 791-8157
(614) 791-8154
Mailing address
5221 STRATFORD AVE, POWELL, OH 43065-8799
(614) 791-8157
(614) 791-8154
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP 05927
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2863370
—
OH
Enumeration date
06/21/2007
Last updated
07/23/2010
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