Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 6148 | NE |
N | 2080N0001X | Neonatal-Perinatal Doctor | 956 | NE |
NPI | 1033347943 |
---|---|
Provider Name | Catherine Ann Brooks |
First Address | Omaha, NE 68154-1302 |
Second Address | Omaha, NE 68198-5524 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2009 |
Last Update Date | 13/10/2017 |