Provider Demographics
NPI:1295498335
Name:BARRERA, BROOKE NICOLE (APRN)
Entity type:Individual
Prefix:MRS
First Name:BROOKE
Middle Name:NICOLE
Last Name:BARRERA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MISS
Other - First Name:BROOKE
Other - Middle Name:NICOLE
Other - Last Name:HURD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:9108 HIGHLAND CREEK AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-9843
Mailing Address - Country:US
Mailing Address - Phone:330-760-6207
Mailing Address - Fax:
Practice Address - Street 1:6780 MAYFIELD RD
Practice Address - Street 2:
Practice Address - City:MAYFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44124-2203
Practice Address - Country:US
Practice Address - Phone:440-312-4500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-15
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0029194363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care