| Doctor Name: | MS. VICTORIA E BROOKSHIRE |
| NPI Number: | 1275679961 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CFNP |
| License Number: | COA 06422-NP |
| Business Practice Address: | 8701 Old Troy Pike Suite 20 Huber Heights, OH - 454241066 |
| Business Phone Number: | 9372337146 |
| Business Fax Number: | 9372374776 |
| Mailing Address: | 2912 Springboro Rd, Suite 201 MORAINE |
| State: | OH |
| Postal Code: | 454391674 |
| Phone Number: | 9372978999 |
| Fax Number: | |
| NPI Enumeration Date: | 01/29/2007 |
| NPI Last Update Date: | 08/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | COA 06422-NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |