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General NPI Number Information
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NPI Number | 1235763608
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Entity Type | Individual
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Provider Name | BROOKE NICOLE CRANE MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/25/2020
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Last Update Date | 03/23/2026
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Provider Practice Location Address
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Address Line | 3550 S 4TH ST STE 110
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City | LEAVENWORTH
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State | KS
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Zip | 66048-5061
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Country | US
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Telephone | 913-680-6200
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Fax |
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Provider Business Mailing Address
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Address Line | 3550 S 4TH ST STE 110
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City | LEAVENWORTH
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State | KS
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Zip | 66048-5061
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Country | US
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Telephone | 913-680-6200
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 53-79322-051
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2020004724
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License Number State | MO
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