Brokke, Amanda Jane

Brokke, Amanda Jane is an individual health care provider with primary practice located at 2701 E Stan Schlueter Loop Ste 100 , Killeen TX 76542-3810. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Brokke, Amanda Jane can be contacted via phone (855) 876-7246.

Contact Information

Primary practice address
2701 E Stan Schlueter Loop Ste 100 Killeen TX 76542-3810
Phone: (855) 876-7246
Fax: (855) 277-5070
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 88406 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP121982 Texas

Profile Details

NPI number 1710247556
LBN Legal business name Brokke, Amanda Jane
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2012
Last updated Mar 10th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710247556 NPPES
Texas Other AP121982 TEXAS CRNA LICENSE
Texas Other 2J7040 TEXAS CRNA LICENSE

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