Doctor Name: | SHARON AGNES BROOKS |
NPI Number: | 1063783504 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP, FNP-BC |
License Number: | R098232 |
Business Practice Address: | 19201 Montgomery Village Ave Gaithersburg, MD - 208865027 |
Business Phone Number: | 3016700070 |
Business Fax Number: | |
Mailing Address: | 14809 Kelley Farm Dr, DARNESTOWN |
State: | MD |
Postal Code: | 208743619 |
Phone Number: | 2406318970 |
Fax Number: | |
NPI Enumeration Date: | 01/14/2012 |
NPI Last Update Date: | 01/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R098232 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |