Provider Demographics
NPI:1265814248
Name:BROOKER, ANNETTE (RN)
Entity Type:Individual
Prefix:
First Name:ANNETTE
Middle Name:
Last Name:BROOKER
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 1:2804 HIGH POINT LN
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-4087
Mailing Address - Country:US
Mailing Address - Phone:419-721-1262
Mailing Address - Fax:567-525-5256
Practice Address - Street 1:2804 HIGH POINT LN
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-4087
Practice Address - Country:US
Practice Address - Phone:419-721-1262
Practice Address - Fax:567-525-5256
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-25
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN260519163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse