Provider Demographics
NPI:1295550291
Name:CARNAHAN, BROOKE (FNP-C)
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:
Last Name:CARNAHAN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3522 MEADOWVIEW BLVD APT 2
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-2762
Mailing Address - Country:US
Mailing Address - Phone:724-698-3182
Mailing Address - Fax:
Practice Address - Street 1:2602 WILMINGTON RD STE 200
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-1538
Practice Address - Country:US
Practice Address - Phone:724-657-3204
Practice Address - Fax:724-652-7144
Is Sole Proprietor?:No
Enumeration Date:2024-11-15
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP031332363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily