Individual
ELISSA MARIE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 757-2101
Mailing address
3692 HEATHER AVE, KINGMAN, AZ 86401-3835
(928) 303-5634
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
259148
AZ
Other
Enumeration date
06/27/2021
Last updated
06/27/2021
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