Provider Demographics
NPI:1326586637
Name:BRIGGS, BROOKE RACHELLE (APRN)
Entity Type:Individual
Prefix:
First Name:BROOKE
Middle Name:RACHELLE
Last Name:BRIGGS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:GRAINFIELD
Mailing Address - State:KS
Mailing Address - Zip Code:67737-3505
Mailing Address - Country:US
Mailing Address - Phone:405-301-2708
Mailing Address - Fax:
Practice Address - Street 1:123 E 2ND ST
Practice Address - Street 2:
Practice Address - City:GRAINFIELD
Practice Address - State:KS
Practice Address - Zip Code:67737-3505
Practice Address - Country:US
Practice Address - Phone:785-953-5953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-07
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK116292163WL0100X
KS53-82381-102363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant