Doctor Name: | MRS. BROOKE DANIELLE MATTHEWS |
NPI Number: | 1477792802 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 6256P |
Business Practice Address: | 2401 Walker Place Blvd Suite 100 Copperas Cove, TX - 765224025 |
Business Phone Number: | 1855876724 |
Business Fax Number: | |
Mailing Address: | 4100 Duval Rd, Bldg. 3 #200 AUSTIN |
State: | TX |
Postal Code: | 787593550 |
Phone Number: | 1512485720 |
Fax Number: | |
NPI Enumeration Date: | 02/09/2009 |
NPI Last Update Date: | 07/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 6256P |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |