Brooks, Mary Ann

Brooks, Mary Ann is an individual health care provider with primary practice located at 353 Fairmont Blvd. , Rapid City SD 57701. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Brooks, Mary Ann can be contacted via phone (605) 719-1000.

Contact Information

Primary practice address
353 Fairmont Blvd. Rapid City SD 57701
Phone: (605) 719-1000
Fax: (605) 719-1027
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X CP000097 South Dakota
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R014468 South Dakota

Profile Details

NPI number 1962525840
LBN Legal business name Brooks, Mary Ann
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2007
Last updated Oct 14th, 2011 - about 15 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 1962525840 NPPES
South Dakota Other CP000097 CNP LICENSE
South Dakota Other 9254066 CNP LICENSE
South Dakota Other 4993197 CNP LICENSE
South Dakota MEDICAID 6829310 CNP LICENSE
South Dakota Other R014468 CNP LICENSE

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