IndividualActive
Gloria Brooks, 124411-30RN
NPI 1679299333 · Medical-Surgical Registered Nurse · Pewaukee, WI
Provider details
- NPI number
- 1679299333
- Entity type
- Individual
- Primary specialty
- Medical-Surgical Registered NurseNursing Service Providers
- Credential
- 124411-30RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 124411-30 (WI)
Practice location
W241n2559east Parkway Meadow C
Unit 2
Pewaukee, WI 53072
Phone: (262) 225-8944
Mailing address
W241n2559east Parkway Meadow C
Pewaukee, WI 53072
Registry dates
- Enumerated
- 2022-10-14
- Last updated
- 2022-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.