Provider Demographics
NPI:1497470504
Name:MASTARONE, BROOKE LOUISE (WHNP-BC, CRNP)
Entity Type:Individual
Prefix:
First Name:BROOKE
Middle Name:LOUISE
Last Name:MASTARONE
Suffix:
Gender:F
Credentials:WHNP-BC, CRNP
Other - Prefix:
Other - First Name:BROOKE
Other - Middle Name:LOUISE
Other - Last Name:RITENOUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2304 BRODHEAD RD
Mailing Address - Street 2:
Mailing Address - City:ALIQUIPPA
Mailing Address - State:PA
Mailing Address - Zip Code:15001-4516
Mailing Address - Country:US
Mailing Address - Phone:724-375-8147
Mailing Address - Fax:724-375-2435
Practice Address - Street 1:2304 BRODHEAD RD
Practice Address - Street 2:
Practice Address - City:ALIQUIPPA
Practice Address - State:PA
Practice Address - Zip Code:15001-4516
Practice Address - Country:US
Practice Address - Phone:724-375-8147
Practice Address - Fax:724-375-2435
Is Sole Proprietor?:No
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP026390363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health