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NPI Code Detail

MEDICARE: MS. MARILYN J BROOKS RN,MSN,FNP-C

MEDICARE: MS. MARILYN J BROOKS RN,MSN,FNP-C
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 Practitioner13224CA

General Provider Information

NPI Number : 1366641821
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARILYN J BROOKS RN,MSN,FNP-C
Provider Business Mailing Address
First Line : 5870 ARLINGTON AVE
Second Line :
City : RIVERSIDE
State : CA
Zip : 92504-2037
Country : US
Telephone Number : 951-683-6596
Fax Number : 951-683-4239
Provider Business Practice Location Address
First Line : 5870 ARLINGTON AVE
Second Line :
City : RIVERSIDE
State : CA
Zip : 92504-2037
Country : US
Telephone Number : 951-683-6596
Fax Number : 951-683-4239
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2007
Last Update Date : 03/07/2023

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