Brooks, Susan Rene'

Brooks, Susan Rene' is an individual health care provider with primary practice located at 2900 1St Ave Ste 210 , Huntington WV 25702-1241. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Brooks, Susan Rene' can be contacted via phone (304) 526-8385.

Contact Information

Primary practice address
2900 1St Ave Ste 210 Huntington WV 25702-1241
Phone: (304) 526-8385
Fax: (304) 526-1951
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X 309701 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN.CNP.019309 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 3017301 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 109966 West Virginia

Profile Details

NPI number 1831551688
LBN Legal business name Brooks, Susan Rene'
Credentials APRN-CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2016
Last updated Oct 27th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831551688 NPPES
West Virginia Other WVD651A MEDICARE PTAN
West Virginia MEDICAID 0189034 MEDICARE PTAN
West Virginia MEDICAID 1831551688 MEDICARE PTAN

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