Individual provider · NPI-1
Angela R. Brooks, MAHR
Case Manager/Care Coordinator · Phoenix, AZ
NPI number1821812827
StatusActive
Last updated in NPPESNov 14, 2024
Details
- NPI
- 1821812827
- Entity type
- Individual (NPI-1)
- Name
- Angela R. Brooks
- Credential
- MAHR
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 14, 2024
- Certification date
- Nov 14, 2024
- Last updated
- Nov 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 171W00000X | Contractor | – | – | |
| 376J00000X | Homemaker | – | – | |
| 376K00000X | Nurse's Aide | – | – |
Practice location
7802 S 14th StPhoenix, AZ 85042-6713
Phone 602-575-9005
Mailing address
7802 S 14th StPhoenix, AZ 85042-6713
Phone 602-575-9005
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