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NPI Code Detail

MEDICARE: MRS. BROOKE NICOLE BARRERA APRN

MEDICARE: MRS. BROOKE NICOLE BARRERA APRN
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
1363LA2100XAcute Care Nurse PractitionerAPRN.CNP.0029194OH

General Provider Information

NPI Number : 1295498335
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BROOKE NICOLE BARRERA APRN
Provider Business Mailing Address
First Line : 9108 HIGHLAND CREEK AVE
Second Line :
City : NORTH CANTON
State : OH
Zip : 44720-9843
Country : US
Telephone Number : 330-760-6207
Fax Number :
Provider Business Practice Location Address
First Line : 6780 MAYFIELD RD
Second Line :
City : MAYFIELD HEIGHTS
State : OH
Zip : 44124-2203
Country : US
Telephone Number : 440-312-4500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2021
Last Update Date : 11/10/2021

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