Provider Demographics
NPI:1295323848
Name:MCLAIN, BROOKE (RN-MSN)
Entity type:Individual
Prefix:MS
First Name:BROOKE
Middle Name:
Last Name:MCLAIN
Suffix:
Gender:F
Credentials:RN-MSN
Other - Prefix:
Other - First Name:BROOKE
Other - Middle Name:
Other - Last Name:MCLAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN-MSN
Mailing Address - Street 1:4 HILLCAT DR
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:NH
Mailing Address - Zip Code:03244-4847
Mailing Address - Country:US
Mailing Address - Phone:603-464-1311
Mailing Address - Fax:603-218-6387
Practice Address - Street 1:4 HILLCAT DR
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:NH
Practice Address - Zip Code:03244-4847
Practice Address - Country:US
Practice Address - Phone:603-464-1311
Practice Address - Fax:603-218-6387
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-08
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH068268-21163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool