Provider Demographics
NPI:1811632250
Name:MORRISON, BROOKE DAVIS (RN)
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:DAVIS
Last Name:MORRISON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:BROOKE
Other - Middle Name:MCKENZIE
Other - Last Name:DAVIS MORRISON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:10230 S DEL REY DR
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85367-7322
Mailing Address - Country:US
Mailing Address - Phone:678-849-7187
Mailing Address - Fax:
Practice Address - Street 1:2946 S AVENUE B
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-7704
Practice Address - Country:US
Practice Address - Phone:928-276-4998
Practice Address - Fax:872-215-9578
Is Sole Proprietor?:No
Enumeration Date:2022-04-30
Last Update Date:2022-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN251631163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse