Provider Demographics
NPI:1407921190
Name:BROOKS, ALICE BRITTAIN (RM)
Entity Type:Individual
Prefix:MRS
First Name:ALICE
Middle Name:BRITTAIN
Last Name:BROOKS
Suffix:
Gender:F
Credentials:RM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3237 S COLLEGE RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28412
Mailing Address - Country:US
Mailing Address - Phone:910-791-0274
Mailing Address - Fax:
Practice Address - Street 1:3311 BURNT MILL RD
Practice Address - Street 2:
Practice Address - City:WILLMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403
Practice Address - Country:US
Practice Address - Phone:910-251-5817
Practice Address - Fax:910-251-2652
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC036838163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics