National Provider Identifier
Brooke Jayme Kaczcoughnett, NP
Brooke Jayme Kaczcoughnett, NP is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Cheektowaga, NY and a listed phone number of (315) 783-3115.
Profile Overview
- NPI
- 1114774809
- Provider Type
- Individual
- Primary Specialty
- Adult Health Nurse Practitioner
- Enumeration Date
- May 01, 2024
- Last Updated
- May 01, 2024
Practice Location
- 14 Ravenswood Ter
- Cheektowaga, NY 14225-1145
Phone: (315) 783-3115
Specialties
- Adult Health Nurse Practitioner (363LA2200X)
Full Record
- NPI
- 1114774809
- Entity Type
- Individual
- Last Name
- Kaczcoughnett
- First Name
- Brooke
- Middle Name
- Jayme
- Credential
- NP
- Provider Other Last Name
- Vancoughnett
- Provider Other First Name
- Brooke
- Provider Other Middle Name
- Jayme
- Provider Other Credential Text
- NP
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 14 Ravenswood Ter
- Mailing City
- Cheektowaga
- Mailing State
- NY
- Mailing ZIP Code
- 14225-1145
- Mailing Country
- US
- Mailing Phone
- (315) 783-3115
- Practice Street Address
- 14 Ravenswood Ter
- Practice City
- Cheektowaga
- Practice State
- NY
- Practice ZIP Code
- 14225-1145
- Practice Country
- US
- Practice Phone
- (315) 783-3115
- Enumeration Date
- May 01, 2024
- Last Updated
- May 01, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 01, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Health Nurse Practitioner (363LA2200X)