KRISTIE LYNN BROOKE


Address: 5460 N 64th St, Milwaukee, WI 53218-3020
Phone: 4145350432

KRISTIE LYNN BROOKE (NPI# 1053486720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053486720
Entity Type Individual
Full Name KRISTIE LYNN BROOKE
Credential FNP
Practice Address 5460 N 64th St
Milwaukee
WI 53218-3020
Practice Telephone 4145350432
Practice Fax Number 4145350373
Mailing Telephone 4145350432
Mailing Fax Number 4145350373
Enumeration Date 2006-11-21
Last Update Date 2008-02-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
2768033 WI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5460 N 64TH ST
City MILWAUKEE
State WI
Zip Code 53218-3020

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396773016 Jean Carol Bell-calvin Registered Nurse 5460 N 64th St, Milwaukee, WI 53218-3020 2006-06-29
1013941798 Michele Ann De'brabant Registered Nurse 5460 N 64th St, Milwaukee, WI 53218-3020 2006-07-10

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1093320459 Tyronda T Gray Nurse Practitioner 5833 N 117th St, Milwaukee, WI 53225-2207 2020-09-12
1861005837 Clair Roser Rivera Nurse Practitioner 3734 W Ohio Ave, Milwaukee, WI 53215-4047 2020-08-28
1760003909 Mary Esson Nurse Practitioner 100 N 75th St, Milwaukee, WI 53213-3516 2020-04-28
1487297271 Mackenna Leslie Hill Nurse Practitioner 11002 W Park Pl, Milwaukee, WI 53224-3615 2019-10-24
1093276040 Danielle L Laczniak Nurse Practitioner 3070 N 51st St Fl 6, Milwaukee, WI 53210-1645 2019-03-30
1871066506 Lisa Ann Parker Nurse Practitioner 3237 S 16th St # 208, Milwaukee, WI 53215-4526 2019-01-04
1467922948 Gretchen Louise Grencer-liegel Nurse Practitioner 1555 N Rivercenter Dr Ste 205, Milwaukee, WI 53212-3958 2018-11-28
1871074385 Mary Teresa Falk Nurse Practitioner 2350 N Lake Dr Ste 306, Milwaukee, WI 53211-4528 2018-08-23
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Competitor

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City MILWAUKEE
Zip Code 53218

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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