Individual provider · NPI-1

Melissa Lee Brookman, CPNP

Nurse Practitioner, Pediatrics · Burlington, VT

NPI number1295505899
StatusActive
Last updated in NPPESJan 4, 2024

Details

NPI
1295505899
Entity type
Individual (NPI-1)
Name
Melissa Lee Brookman
Credential
CPNP
Sex
Female
Sole proprietor
No
Enumeration date
Jan 4, 2024
Certification date
Jan 4, 2024
Last updated
Jan 4, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics1010134474VTYes

Practice location

128 Lakeside Ave Ste 115
Burlington, VT 05401-4936

Phone 802-860-1928

Mailing address

128 Lakeside Ave Ste 115
Burlington, VT 05401-4936

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