Healthcare Provider Details

I. General information

NPI: 1104755255
Provider Name (Legal Business Name): BROOKE ERIN NOBLES APRN, CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 LONE STAR DR
ABILENE TX
79602-8140
US

IV. Provider business mailing address

410 LONE STAR DR
ABILENE TX
79602-8140
US

V. Phone/Fax

Practice location:
  • Phone: 325-690-6680
  • Fax: 325-690-6682
Mailing address:
  • Phone: 325-690-6680
  • Fax: 325-690-6682

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number1234143
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: