Provider Demographics
NPI:1245834118
Name:BROOKS, ANITA FRANCES (APRN)
Entity type:Individual
Prefix:
First Name:ANITA
Middle Name:FRANCES
Last Name:BROOKS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2828 S SEACREST BLVD STE 213
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-7944
Mailing Address - Country:US
Mailing Address - Phone:561-536-3166
Mailing Address - Fax:561-877-5033
Practice Address - Street 1:2828 S SEACREST BLVD STE 213
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-7944
Practice Address - Country:US
Practice Address - Phone:561-536-3166
Practice Address - Fax:561-877-5033
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-22
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN11010285207Q00000X
FL11010285363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine