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NPI Code Detail

MEDICARE: GREGORY L BROOKS APN, FNP-C, DNP

MEDICARE: GREGORY L BROOKS APN, FNP-C, DNP
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 PractitionerR65184OK

General Provider Information

NPI Number : 1760748818
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY L BROOKS APN, FNP-C, DNP
Provider Business Mailing Address
First Line : 2501 N BLACKWELDER AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73106-1402
Country : US
Telephone Number : 405-208-5090
Fax Number : 405-208-6016
Provider Business Practice Location Address
First Line : 2501 N BLACKWELDER AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73106-1402
Country : US
Telephone Number : 405-208-5090
Fax Number : 405-208-6016
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2012
Last Update Date : 04/03/2012

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