Provider Demographics
NPI:1932658606
Name:TROWBRIDGE BROOKE, AMANDA (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:
Last Name:TROWBRIDGE BROOKE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MISS
Other - First Name:AMANDA
Other - Middle Name:ROSE
Other - Last Name:BROOKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:TROWBRIDGE
Mailing Address - Street 1:1940 STONEGATE DR STE 130
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA HLS
Mailing Address - State:AL
Mailing Address - Zip Code:35242-2541
Mailing Address - Country:US
Mailing Address - Phone:205-977-9876
Mailing Address - Fax:205-977-9976
Practice Address - Street 1:1722 PINE ST STE 408
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-1159
Practice Address - Country:US
Practice Address - Phone:334-834-3093
Practice Address - Fax:334-834-3003
Is Sole Proprietor?:No
Enumeration Date:2016-09-23
Last Update Date:2019-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-106418363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1-106418OtherCRNP LICENSE