Shontell A Brooks, NP-C
Nurse Practitioner, Adult Health in Pasadena, MD. Individual provider (NPI-1).
NPI number1356814990
StatusActive
Last updated in NPPESSep 22, 2023
Details
- NPI
- 1356814990
- Entity type
- Individual (NPI-1)
- Name
- Shontell A Brooks
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 7, 2019
- Certification date
- Sep 22, 2023
- Last updated
- Sep 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | R169423 | MD | Yes |
| 363L00000X | Nurse Practitioner | R169423 | MD | |
| 363LF0000X | Nurse Practitioner, Family | R169423 | MD |
Practice location
2528 Mountain Rd Ste 101Pasadena, MD 21122-7202
Phone 443-798-7778 · Fax 410-360-1675
Mailing address
2528 Mountain Rd Ste 101Pasadena, MD 21122-7202
Phone 443-798-7778 · Fax 410-360-1675
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