Mary Ann Brooks in Rapid City - Nurse Practitioner

Mary Ann Brooks - NPI 1962525840

Mary Ann Brooks is a Nurse Practitioner in Rapid City, South Dakota. Mary Ann Brooks practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Mary Ann Brooks is 1962525840. The last update date is 2011-10-14.

Mary Ann Brooks's current location address is 353 Fairmont Blvd, Rapid City, South Dakota. You can contact this provider via phone number 6057197109 and fax number 6057191027. The mailing address for Mary Ann Brooks is 353 Fairmont Blvd, Rapid City, South Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Ann Brooks
Address 353 Fairmont Blvd, Rapid City, South Dakota
Phone Number 6057197109
Fax Number 6057191027
Sole Proprietor N
Credentials CNP

NPI Number Detail

NPI Number 1962525840
Provider Enumeration Date 2007-04-07
Last Updated Date 2011-10-14

Provider Mailing Address Detail

Address 353 Fairmont Blvd
City Rapid City
State South Dakota (SD)
Post Code 577016000
Phone Number 6057197109
Fax Number 6057191027

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No R014468
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CP000097 SD CNP LICENSE
9254066 SD DAKOTACARE
4993197 SD WELLMARK
6829310 SD --
R014468 SD RN LICENSE

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FAQs about Mary Ann Brooks

What is the unique identifier code issued to Mary Ann Brooks by the Centers for Medicare & Medicaid Services (CMS)?

The Mary Ann Brooks has been assigned the NPI (National Provider Identifier) 1962525840. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Mary Ann Brooks is located?

The Mary Ann Brooks is situated at the following address: 353 Fairmont Blvd, Rapid City, SD, 577016000.

What is the area of specialization for Mary Ann Brooks, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mary Ann Brooks is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of expertise is 363L00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1962525840 to Mary Ann Brooks?

The Centers for Medicare & Medicaid Services originally issued the 1962525840 to Mary Ann Brooks on 2007-04-07.

As of what date were the Mary Ann Brooks's details last updated?

The information pertaining to the Mary Ann Brooks, including its address, specialty, and other details, was most recently updated on 2011-10-14.

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