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NPI Code Detail

MEDICARE: BROOKE POWERS CRNP

MEDICARE:   BROOKE  POWERS  CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner1-143892AL

General Provider Information

NPI Number : 1174352306
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKE POWERS CRNP
Provider Business Mailing Address
First Line : 12060 COUNTY LINE RD
Second Line :
City : MADISON
State : AL
Zip : 35756-2003
Country : US
Telephone Number : 205-999-0603
Fax Number :
Provider Business Practice Location Address
First Line : 2106 SEMINOLE DR SW
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35805-3812
Country : US
Telephone Number : 256-993-0056
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2024
Last Update Date : 07/17/2025

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Directions to “ BROOKE POWERS CRNP” Practice Location

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