Brooke M. Convento, CRNA
Nurse Anesthetist, Certified Registered in Marlton, NJ. Individual provider (NPI-1).
NPI number1992057145
StatusActive
Last updated in NPPESOct 12, 2012
Details
- NPI
- 1992057145
- Entity type
- Individual (NPI-1)
- Name
- Brooke M. Convento
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 12, 2012
- Last updated
- Oct 12, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
- Can order and refer
- Part B Yes · DME No · Home health No · Power mobility No · 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 |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 26NR14882000 | NJ | Yes |
Practice location
102 Centre Blvd Ste EMarlton, NJ 08053-4129
Phone 856-988-6260 · Fax 856-988-6270
Mailing address
102 Centre Blvd Ste EMarlton, NJ 08053-4129
Phone 856-988-6260 · Fax 856-988-6270
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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All 27 Certified Registered Nurse Anesthetist providers in Marlton · All 2,303 providers in Marlton
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