Provider Demographics
NPI:1639806052
Name:BARNHILL, BROOKE P (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:BROOKE
Middle Name:P
Last Name:BARNHILL
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 444
Mailing Address - Street 2:
Mailing Address - City:FREELAND
Mailing Address - State:MI
Mailing Address - Zip Code:48623-0444
Mailing Address - Country:US
Mailing Address - Phone:989-573-5043
Mailing Address - Fax:
Practice Address - Street 1:122 UPTOWN DR STE 204-11
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48708-5617
Practice Address - Country:US
Practice Address - Phone:989-573-5043
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-05
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704262509NSA220MD363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health