Healthcare Provider Details

I. General information

NPI: 1982829115
Provider Name (Legal Business Name): MELISSA ROBIN BROOKS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 TUNNEL RD STE D
ASHEVILLE NC
28805-1800
US

IV. Provider business mailing address

119 TUNNEL RD STE D
ASHEVILLE NC
28805-1800
US

V. Phone/Fax

Practice location:
  • Phone: 828-350-1000
  • Fax: 828-350-1300
Mailing address:
  • Phone: 828-350-1000
  • Fax: 828-350-1300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number197420
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: