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NPI Code Detail

MEDICARE: BROOKLYN VICTORIA CANTRELL APRN

MEDICARE: BROOKLYN VICTORIA CANTRELL APRN
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
1363L00000XNurse Practitioner41331TN

General Provider Information

NPI Number : 1083560866
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKLYN VICTORIA CANTRELL APRN
Provider Business Mailing Address
First Line : 135 WALKER ST
Second Line :
City : SPARTA
State : TN
Zip : 38583-1725
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 135 WALKER ST
Second Line :
City : SPARTA
State : TN
Zip : 38583-1725
Country : US
Telephone Number : 931-836-2201
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2026
Last Update Date : 03/05/2026

Similar Medicare Providers

1811049331 — STATE OF TENNESSEE
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135 WALKER ST
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1023231958 — DANA G FIKE RN
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1447473368 — MS. SHIRLEY LEE POTTER
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1023374634 — MRS. MOLLY ANN KIMMELL RN
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Directions to “ BROOKLYN VICTORIA CANTRELL APRN” Practice Location

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