Individual provider · Type 1 NPI
Brooke D. Ethridge, RN
College Health Registered Nurse · Manhattan, KS
NPI number
1063852564
Active
Practice location
1105 Sunset Ave
Manhattan, KS 66502-3761
Fax (785) 532-6627
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| College Health Registered Nurse Primary | 163WC1400X | 113466 (KS) |
College Health Registered Nurse: Definition to come...
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About NPI 1063852564
Brooke D. Ethridge, RN's National Provider Identifier is 1063852564, issued on Jun 28, 2013. The primary taxonomy on file is College Health Registered Nurse (163WC1400X), and the practice location is in Manhattan, KS. The record was last updated on Jun 28, 2013.