Individual provider · Type 1 NPI
Brooke Jayme Kaczcoughnett, NP
Adult Health Nurse Practitioner · Cheektowaga, NY
NPI number
1114774809
Active
Practice location
14 Ravenswood Ter
Cheektowaga, NY 14225-1145
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 311716 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1114774809
Brooke Jayme Kaczcoughnett, NP's National Provider Identifier is 1114774809, issued on May 1, 2024. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Cheektowaga, NY. The record was last updated on May 1, 2024.