Provider Demographics
NPI:1154734036
Name:GEE BIRZES, BROOKE (CRNA)
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:
Last Name:GEE BIRZES
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 NICHOLAS CT
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-5708
Mailing Address - Country:US
Mailing Address - Phone:443-945-2882
Mailing Address - Fax:
Practice Address - Street 1:2 READS WAY
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-1607
Practice Address - Country:US
Practice Address - Phone:302-709-4709
Practice Address - Fax:302-709-4551
Is Sole Proprietor?:No
Enumeration Date:2014-06-09
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL10036991367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered