Mrs. Brooke Nayak
Nurse Practitioner - Pediatrics
15255 Northline Rd
Southgate
, Michigan 48195-2487
Mrs. Brooke Nayak
Nurse Practitioner - Pediatrics
15255 Northline Rd
Southgate
, Michigan 48195-2487
(734) 285-3090
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Brooke Nayak
- 15255 Northline Rd
- Southgate, MI
- Zip : 48195-2487
- Phone : (734) 285-3090
Second Address
- Mrs. Brooke Nayak
- 15255 Northline Rd
- Southgate, MI
- Zip : 48195-2487
- Phone : (734) 285-3090
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 4704268691 | MI |
National Provider Identifier
| NPI | 1003246380 |
|---|---|
| Provider Name | Mrs. Brooke Nayak |
| First Address | Southgate, MI 48195-2487 |
| Second Address | Southgate, MI 48195-2487 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/11/2013 |
| Last Update Date | 22/11/2013 |
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.