Most Relevant Information
Provider Data
| NPI Number: | 1003055492 |
| Provider Name: | BROOKE GUM MN, ARNP |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN128078 |
Most Important Dates
| Enumeration Date: | 02/09/2009 |
| Last Updated: | 10/06/2021 |
Provider Practice Location
3321 W KENNEWICK AVE STE 150
KENNEWICK
WA
993362968
Practice Location Phone/Fax
| Phone: | 5097356446 |
| Fax: | 5094923040 |
Provider Mailing Location
3321 W KENNEWICK AVE STE 150
KENNEWICK
WA
993362968
Provider Mailing Phone/Fax
| Phone: | 5097356446 |
| Fax: | 5094923040 |