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NPI Code Detail

MEDICARE: BROOKE E VASS APRN

MEDICARE: BROOKE E VASS 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
1363LF0000XFamily Nurse Practitioner1104363KY
2363LF0000XFamily Nurse Practitioner345430OH
3363LF0000XFamily Nurse Practitioner3008656KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346680626
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKE E VASS APRN
Provider Business Mailing Address
First Line : 120 W MAIN ST
Second Line :
City : CIRCLEVILLE
State : OH
Zip : 43113-1654
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 419 VERNON ST
Second Line :
City : IRONTON
State : OH
Zip : 45638-1637
Country : US
Telephone Number : 740-479-5120
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2013
Last Update Date : 09/09/2025

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Directions to “ BROOKE E VASS APRN” Practice Location

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