Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 101.0134598 | VT |
NPI | 1013434612 |
---|---|
Provider Name | Brooke Hopkins |
First Address | Burlington, VT 05401-1417 |
Second Address | Burlington, VT 05401-1417 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2017 |
Last Update Date | 20/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
026.0143103 | RN LICENSE (01) | VT |
101.0134598 | APRN LICENSE (01) | VT |