Healthcare Provider Details

I. General information

NPI: 1659057701
Provider Name (Legal Business Name): BROOKE ANGE COX FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BROOKE SAWYER ANGE

II. Dates (important events)

Enumeration Date: 06/23/2023
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 W MARTIN LUTHER KING JR DR
WASHINGTON NC
27889-4906
US

IV. Provider business mailing address

86 PUNGO TRL
PINETOWN NC
27865-9703
US

V. Phone/Fax

Practice location:
  • Phone: 252-940-0602
  • Fax: 252-940-0605
Mailing address:
  • Phone: 252-717-8383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number5018310
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5018310
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: