Kellie J Brooks in Riverside - Nurse Practitioner
Kellie J Brooks - NPI 1043368947
Kellie J Brooks is a Nurse Practitioner in Riverside, California. Kellie J Brooks practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Kellie J Brooks is 1043368947. The last update date is 2021-11-30.
Kellie J Brooks's current location address is 10800 Magnolia Ave, Riverside, California. You can contact this provider via phone number 9093532000. The mailing address for Kellie J Brooks is 10800 Magnolia Ave, Riverside, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kellie J Brooks |
|---|---|
| Address | 10800 Magnolia Ave, Riverside, California |
| Phone Number | 9093532000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1043368947 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2021-11-30 |
Provider Mailing Address Detail
| Address | 10800 Magnolia Ave |
|---|---|
| City | Riverside |
| State | California (CA) |
| Post Code | 925053043 |
| Phone Number | 9093532000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | NP9746 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique 10-digit identification code assigned to Kellie J Brooks by the Centers for Medicare & Medicaid Services?
The Kellie J Brooks has been issued the NPI (National Provider Identifier) 1043368947, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kellie J Brooks's physical address?
The Kellie J Brooks is physically located at 10800 Magnolia Ave, in the city of Riverside, CA, with the postal code 925053043.
What is Kellie J Brooks's area of expertise and its corresponding taxonomy classification?
The Kellie J Brooks's field of specialization is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Kellie J Brooks receive its 1043368947 assignment from the Centers for Medicare & Medicaid Services?
The Kellie J Brooks was assigned its 1043368947 by the Centers for Medicare & Medicaid Services on 2007-01-08.
When was the information pertaining to Kellie J Brooks most recently updated or revised?
The details related to Kellie J Brooks, including its address, specialty, and other relevant information, were last updated or revised on 2021-11-30.
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