Brooke Corlew
Nurse Practitioner, Family in Syracuse, NY. Individual provider (NPI-1).
NPI number1235798166
StatusActive
Last updated in NPPESJun 13, 2019
Details
- NPI
- 1235798166
- Entity type
- Individual (NPI-1)
- Name
- Brooke Corlew
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 13, 2019
- Last updated
- Jun 13, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 344489 | NY | Yes |
Practice location
1045 James StSyracuse, NY 13203-2730
Phone 315-425-1004
Mailing address
205 Manor DrNorth Syracuse, NY 13212-1010
Phone 518-796-2735
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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