Denise Brooker

Individual provider Active NPI Licensed Practical Nurse · Milford, OH

NPI 1699138271 · NPPES record last updated Apr 25, 2023

Key facts

NPI
1699138271
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LPN.140175.MEDS (OH)
Practice address
25 Whitney Dr
Milford, OH 45150-8402
Phone
(513) 941-4999
Fax
(513) 694-0168
NPI assigned
Apr 1, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LPN.140175.MEDSOHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN.140175.MEDS OH Yes

Addresses

Primary practice location

25 Whitney Dr
Milford, OH 45150-8402

Mailing address

6460 Harrison Ave Ste 200
Cincinnati, OH 45247-7958
Phone (513) 941-4999

Other identifiers

IdentifierTypeStateIssuer
0217480MedicaidOH

Other providers in Milford, OH

All providers in Milford, OH · Licensed Practical Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.