Brooks, Vicky
Brooks, Vicky is an individual health care provider with primary practice located at 260 Beth Stacey Blvd Unit 130 , Lehigh Acres FL 33936-6074. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Brooks, Vicky can be contacted via phone (239) 368-2839.Contact Information
Primary practice address
260 Beth Stacey Blvd Unit 130
Lehigh Acres FL 33936-6074
Phone: (239) 368-2839
Fax: (239) 368-5011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 9219405 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP9219405 | Florida |
Profile Details
| NPI number | 1336447838 |
|---|---|
| LBN Legal business name | Brooks, Vicky |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2011 |
| Last updated | Sep 25th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336447838 | NPPES |
| Florida | Other | 9219405 | ARNP |
| Florida | MEDICAID | 006636900 | ARNP |
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