Ervin, Brooke Michelle
Ervin, Brooke Michelle is an individual health care provider with primary practice located at 1401 Matthews Township Pkwy Ste 312 , Matthews NC 28105. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Ervin, Brooke Michelle can be contacted via phone (704) 316-9001.Contact Information
Primary practice address
1401 Matthews Township Pkwy Ste 312
Matthews NC 28105
Phone: (704) 316-9001
Fax: (704) 316-9008
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 161919 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 5003350 | North Carolina |
Profile Details
| NPI number | 1891988077 |
|---|---|
| LBN Legal business name | Ervin, Brooke Michelle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2007 |
| Last updated | Jun 26th, 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 | 1891988077 | NPPES |
| North Carolina | Other | 1891988077 | NPI |
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