Provider Demographics
NPI:1164298006
Name:BARRERE, BROOKE (RN)
Entity Type:Individual
Prefix:
First Name:BROOKE
Middle Name:
Last Name:BARRERE
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 1:3417 HENICAN PL
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70003-1503
Mailing Address - Country:US
Mailing Address - Phone:504-453-4359
Mailing Address - Fax:
Practice Address - Street 1:201 VINTAGE DR
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-1881
Practice Address - Country:US
Practice Address - Phone:504-521-1020
Practice Address - Fax:504-617-6400
Is Sole Proprietor?:No
Enumeration Date:2023-12-01
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA136128163WS0200X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WS0200XNursing Service ProvidersRegistered NurseSchool