Traci L Brooks, RN, FNP-C | |
480 Central Ave, Family Practice Clinic, Jbphh, HI 96860-4908 | |
(808) 257-3365 | |
Not Available |
Full Name | Traci L Brooks |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 480 Central Ave, Jbphh, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528247178 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 663922 (California) | Primary |
Entity Name | Doctor On Demand Professionals P C |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174931448 PECOS PAC ID: 9436464567 Enrollment ID: O20150818004696 |
Mailing Address | Practice Location Address |
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Traci L Brooks, RN, FNP-C 480 Central Ave, Family Practice Clinic, Jbphh, HI 96860-4908 Ph: (808) 257-3365 | Traci L Brooks, RN, FNP-C 480 Central Ave, Family Practice Clinic, Jbphh, HI 96860-4908 Ph: (808) 257-3365 |
Mrs. Karen D Carroll, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 755 Scott Cir, Jbphh, HI 96853 Phone: 808-448-6104 Fax: 808-448-6355 | |
Mrs. Salee Jane Oboza, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 480 Central Ave, Jbphh, HI 96860 Phone: 808-474-4242 | |
Caroline Yong Glover, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 755 Scott Cir, Jbphh, HI 96853 Phone: 808-448-6000 | |
Stefany Irasema O'connell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 480 Central Ave Bldg 1750, Jbphh, HI 96860 Phone: 888-683-2778 | |
Rachel E Hodge, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 755 Scott Cir, Jbphh, HI 96853 Phone: 808-448-6291 | |
Mr. Timothy Peter Brender, PPCNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 480 Central Ave Bldg 1750, Jbphh, HI 96860 Phone: 808-471-5171 |