Provider Demographics
NPI:1386270320
Name:FRIEDL, BROOKE E (APRN-CNP)
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:E
Last Name:FRIEDL
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:BROOKE
Other - Middle Name:E
Other - Last Name:KANEHL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:360 US HIGHWAY 1 BYP UNIT 102
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-7105
Mailing Address - Country:US
Mailing Address - Phone:603-410-6700
Mailing Address - Fax:603-319-8308
Practice Address - Street 1:545 HOOKSETT RD UNIT 1
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-2654
Practice Address - Country:US
Practice Address - Phone:603-255-4775
Practice Address - Fax:603-255-4776
Is Sole Proprietor?:No
Enumeration Date:2020-03-22
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH073284-21163WM0102X
OK211622363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn