Doctor Name: | MRS. THANH TRUC NU BROOKS |
NPI Number: | 1780662056 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | 201979 |
Business Practice Address: | 8282 South Nc 58 Hwy Elm City, NC - 278228947 |
Business Phone Number: | 2524437744 |
Business Fax Number: | 2524437611 |
Mailing Address: | 8282 South Nc 58 Hwy, ELM CITY |
State: | NC |
Postal Code: | 278228947 |
Phone Number: | 2524437744 |
Fax Number: | 2524437611 |
NPI Enumeration Date: | 01/05/2006 |
NPI Last Update Date: | 10/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 201979 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |