Doctor Name: | MRS. LYNNETTE BROOKES |
NPI Number: | 1366726671 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N |
License Number: | 7532570 |
Business Practice Address: | 3599 Big Ridge Rd Spencerport, NY - 145591709 |
Business Phone Number: | 5853522400 |
Business Fax Number: | |
Mailing Address: | 55 Union Station Rd, NORTH CHILI |
State: | NY |
Postal Code: | 145149742 |
Phone Number: | 5858896562 |
Fax Number: | 5858896562 |
NPI Enumeration Date: | 10/05/2011 |
NPI Last Update Date: | 10/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0200X |
License Number: | 7532570 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |