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Individual

MRS. AMANDA TROWBRIDGE BROOKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1722 PINE ST STE 408, MONTGOMERY, AL 36106-1159
(334) 834-3093
(334) 834-3003
Mailing address
1940 STONEGATE DR STE 130, VESTAVIA HLS, AL 35242-2541
(205) 977-9876
(205) 977-9976

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-106418
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-106418
CRNP LICENSE
AL
Enumeration date
09/23/2016
Last updated
09/29/2019
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