Provider Demographics
NPI:1154567287
Name:NAEGELE, BROOKE E (NP)
Entity type:Individual
Prefix:MS
First Name:BROOKE
Middle Name:E
Last Name:NAEGELE
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:7711 LOUIS PASTEUR DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3415
Mailing Address - Country:US
Mailing Address - Phone:210-692-9500
Mailing Address - Fax:210-678-3482
Practice Address - Street 1:7711 LOUIS PASTEUR DR
Practice Address - Street 2:SUITE 200
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3415
Practice Address - Country:US
Practice Address - Phone:210-692-9500
Practice Address - Fax:210-678-3482
Is Sole Proprietor?:No
Enumeration Date:2008-12-19
Last Update Date:2016-01-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX702660363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0024167319OtherLICENSE