Basic Information
| Provider Information | |||||||||
| NPI: | 1255301453 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BROOKHYSER | ||||||||
| FirstName: | JOAN | ||||||||
| MiddleName: | D | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 371353 | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891371353 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7022339222 | ||||||||
| FaxNumber: | 7028041349 | ||||||||
| Practice Location | |||||||||
| Address1: | 10300 W CHARLESTON BLVD STE 13-342 | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891351037 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7022339222 | ||||||||
| FaxNumber: | 7028041349 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/23/2006 | ||||||||
| LastUpdateDate: | 04/13/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | 4227 | NV | N | Allopathic & Osteopathic Physicians | Hospitalist | 207RN0300X | 4227 | NV | N | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology | 207R00000X | 4227 | NV | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RC0200X | 4227 | NV | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine |
No ID Information.