Raphael, Brook Amber
Raphael, Brook Amber is an individual health care provider with primary practice located at 1802 Yakima Ave Ste 304 , Tacoma WA 98405-5305. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Raphael, Brook Amber can be contacted via phone (253) 627-1244.Contact Information
Primary practice address
1802 Yakima Ave Ste 304
Tacoma WA 98405-5305
Phone: (253) 627-1244
Fax: (253) 627-6576
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP61178764 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP61178764 | Washington |
Profile Details
| NPI number | 1912240060 |
|---|---|
| LBN Legal business name | Raphael, Brook Amber |
| Credentials | DNP-FNP, ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2013 |
| Last updated | Nov 24th, 2021 - about 5 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 | 1912240060 | NPPES |
| Washington | MEDICAID | 2183468 |
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