Provider Demographics
NPI:1154843324
Name:BRINING, BROOKE ELLEN (RN)
Entity Type:Individual
Prefix:MISS
First Name:BROOKE
Middle Name:ELLEN
Last Name:BRINING
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:192 WHISPERING ECHOS DR
Mailing Address - Street 2:
Mailing Address - City:KEARNEYSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25430-3706
Mailing Address - Country:US
Mailing Address - Phone:304-616-8075
Mailing Address - Fax:
Practice Address - Street 1:407 ELM ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-5925
Practice Address - Country:US
Practice Address - Phone:540-722-9172
Practice Address - Fax:540-535-0242
Is Sole Proprietor?:No
Enumeration Date:2017-07-10
Last Update Date:2017-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001250144163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse