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NPI Code Detail

MEDICARE: BROOKE MCKENZIE HOWARD AGPCNP-BC

MEDICARE: BROOKE MCKENZIE HOWARD AGPCNP-BC
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 PractitionerAPRN11036726FL
2363L00000XNurse PractitionerGAA-NP003354GA
3363L00000XNurse Practitioner25639SC

General Provider Information

NPI Number : 1972261550
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKE MCKENZIE HOWARD AGPCNP-BC
Provider Business Mailing Address
First Line : 111 DOCTOR CIR
Second Line :
City : COLUMBIA
State : SC
Zip : 29203-6502
Country : US
Telephone Number : 800-491-0909
Fax Number :
Provider Business Practice Location Address
First Line : 111 DOCTOR CIR
Second Line :
City : COLUMBIA
State : SC
Zip : 29203-6502
Country : US
Telephone Number : 800-491-0909
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2021
Last Update Date : 02/24/2026

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