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NPI Code Detail

MEDICARE: ANNA RACHEL BROOKS APRN

MEDICARE: ANNA RACHEL BROOKS 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 PractitionerRN313896GA

General Provider Information

NPI Number : 1558067165
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA RACHEL BROOKS APRN
Provider Business Mailing Address
First Line : 4850 SUGARLOAF PKWY STE 501
Second Line :
City : LAWRENCEVILLE
State : GA
Zip : 30044-2864
Country : US
Telephone Number : 770-962-1616
Fax Number :
Provider Business Practice Location Address
First Line : 4850 SUGARLOAF PKWY STE 501
Second Line :
City : LAWRENCEVILLE
State : GA
Zip : 30044-2864
Country : US
Telephone Number : 770-962-1616
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2023
Last Update Date : 07/23/2024

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Directions to “ ANNA RACHEL BROOKS APRN” Practice Location

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