Provider Demographics
NPI:1538938022
Name:DUPLECHAIN, BROOKE (RN, CCM)
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:
Last Name:DUPLECHAIN
Suffix:
Gender:F
Credentials:RN, CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3636 S I 10 SERVICE RD W STE 308
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-6418
Mailing Address - Country:US
Mailing Address - Phone:337-230-4061
Mailing Address - Fax:877-838-4035
Practice Address - Street 1:3636 S I 10 SERVICE RD W STE 308
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-6418
Practice Address - Country:US
Practice Address - Phone:337-230-4061
Practice Address - Fax:877-838-4035
Is Sole Proprietor?:No
Enumeration Date:2023-12-26
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN112805163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management