Individual
BROOKE ANN PICCINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1163 COUNTRY CLUB RD, MONONGAHELA, PA 15063-1095
(724) 258-1002
Mailing address
307 KENNETT DR, ELIZABETH, PA 15037-2447
(412) 853-6728
(412) 751-4014
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN589333
PA
363LF0000X
Family Nurse Practitioner
Primary
F03200578
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F03200578
AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD
PA
01
—
RN589333
REGISTERED NURSE LICENSE
PA
Enumeration date
04/13/2020
Last updated
04/13/2020
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