NPI 1063852564 · live from the CMS NPI Registry
Brooke D Ethridge, RN
Registered Nurse, College Health in Manhattan, KS. National Provider Identifier 1063852564, active.
NPI record
| NPI | 1063852564 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, College Health 163WC1400X |
| Practice location | 1105 Sunset Ave, Manhattan, KS 66502 |
| Practice phone | 785-532-7755 |
| Enumerated | June 28, 2013 |
| Last updated | June 28, 2013 |
| Sole proprietor | No |
| Other names | Brooke Fields |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, College Health primary | 163WC1400X | 113466 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.