Brooke Alecia Rupert
Nurse Practitioner - Pediatrics
4710 N. Habana Avenue Suite #307
Tampa
, Florida 33614-7151
Brooke Alecia Rupert
Nurse Practitioner - Pediatrics
4710 N. Habana Avenue Suite #307
Tampa
, Florida 33614-7151
(863) 687-8969
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Brooke Alecia Rupert
- 5950 S Florida Ave
- Lakeland, FL
- Zip : 33813-2532
- Fax : (863) 687-8969
- Phone : (863) 688-3550
Second Address
- Brooke Alecia Rupert
- 4710 N. Habana Avenue Suite #307
- Tampa, FL
- Zip : 33614-7151
- Fax : (813) 875-9303
- Phone : (813) 874-2000
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Is Brooke Alecia Rupert a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | ARNP9339338 | FL |
National Provider Identifier
| NPI | 1043672827 |
|---|---|
| Provider Name | Brooke Alecia Rupert |
| First Address | Lakeland, FL 33813-2532 |
| Second Address | Tampa, FL 33614-7151 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/03/2016 |
| Last Update Date | 20/02/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.