Provider Demographics
NPI:1720723893
Name:BROOKS, MARJORIE K (CCRN)
Entity type:Individual
Prefix:
First Name:MARJORIE
Middle Name:K
Last Name:BROOKS
Suffix:
Gender:
Credentials:CCRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WILLIAM BEAUMONT ARMY MEDICAL CENTER
Mailing Address - Street 2:18511 HIGHLANDER MEDICS ST
Mailing Address - City:FORT BLISS
Mailing Address - State:TX
Mailing Address - Zip Code:79906
Mailing Address - Country:US
Mailing Address - Phone:915-742-7777
Mailing Address - Fax:
Practice Address - Street 1:282 CAULFIELD LN
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-4069
Practice Address - Country:US
Practice Address - Phone:734-637-1770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-03
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program