Doctor Name: | MELISSA ANN BROOKS |
NPI Number: | 1073893772 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, FNP |
License Number: | 1391 |
Business Practice Address: | 602 Chase Ave Cordova, AK - 99574 |
Business Phone Number: | 9074248240 |
Business Fax Number: | |
Mailing Address: | Po Box 40, CRAIG |
State: | AK |
Postal Code: | 999210040 |
Phone Number: | 9077554800 |
Fax Number: | |
NPI Enumeration Date: | 08/25/2011 |
NPI Last Update Date: | 05/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1391 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |