Individual
BROOKE COOPER RAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1456 PROFESSIONAL DR STE 405, PETALUMA, CA 94954-6639
(707) 769-7500
Mailing address
26 DUPREE CT, PETALUMA, CA 94954-6844
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95022175
CA
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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