Holmes, Brooke

Holmes, Brooke is an individual health care provider with primary practice located at 3251 W 9Th St , Waterloo IA 50702-5310. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Holmes, Brooke can be contacted via phone (319) 234-2893.

Contact Information

Primary practice address
3251 W 9Th St Waterloo IA 50702-5310
Fax: (319) 234-0354
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 107407 Iowa

Profile Details

NPI number 1104574870
LBN Legal business name Holmes, Brooke
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2022
Last updated Mar 12th, 2022 - about 3 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 1104574870 NPPES
Iowa MEDICAID 0074435

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