Individual provider · NPI-1

Monique Jacqueline Brink, aprn-cnp

Nurse Practitioner · Shawnee, OK

NPI number1356608103
StatusActive
Last updated in NPPESJan 16, 2020

Details

NPI
1356608103
Entity type
Individual (NPI-1)
Name
Monique Jacqueline Brink
Credential
aprn-cnp
Sex
Female
Sole proprietor
No
Enumeration date
Apr 18, 2012
Certification date
Jan 16, 2020
Last updated
Jan 16, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerRN0081023OKYes
363LF0000X Nurse Practitioner, FamilyR81023OK
363LF0000X Nurse Practitioner, FamilyK2009687OK

Practice location

2510 E Independence St
Shawnee, OK 74804-1839

Phone 800-942-2904

Mailing address

3545 Nw 58th St
Ste 450
Oklahoma City, OK 73112-4726

Phone 405-951-4370

Other practice locations

3433 Nw 56th St
Ste 400
Oklahoma City, OK 73112-4455

Phone 405-947-3341 · Fax 405-951-4393

2525 Nw Expressway Ste 102
Oklahoma City, OK 73112-7200

Phone 405-213-0192 · Fax 405-438-0988

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