Provider Demographics
NPI:1235748880
Name:COMBS, EMILY BROOKE (FNP-C)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:BROOKE
Last Name:COMBS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 N A ST STE 110
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79705-5421
Mailing Address - Country:US
Mailing Address - Phone:432-400-3401
Mailing Address - Fax:432-400-3402
Practice Address - Street 1:3300 N A ST STE 110
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79705-5421
Practice Address - Country:US
Practice Address - Phone:432-400-3401
Practice Address - Fax:432-400-3402
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-29
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1004514363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily