person
Brooke Nicole Deweese, PA
Medical Physician Assistant in Pueblo West, Colorado
NPI 1174867279

Brooke Nicole Deweese is a Medical Physician Assistant based in Denver, CO and is specialized in Medical. Brooke Nicole Deweese practices in Pueblo West, CO and has the professional credentials of PA. The NPI Number for Brooke Nicole Deweese is 1174867279 and holds a License No. PA.0003584 (Colorado).

The current practice location address for Brooke Nicole Deweese is 121 S. Crescent Drive, Pueblo West, CO and can be reached out via phone at 719-595-7575 and via fax at 719-288-2799.

Location: 121 S. Crescent Drive, Pueblo West, CO, 80256-0825
person
Provider Profile Details
NPI Number
1174867279
Provider Name
Brooke Nicole Deweese
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
121 S. Crescent Drive, Pueblo West, CO, 80256-0825
Phone Number
719-595-7575
Fax Number
719-288-2799
Provider Enumeration Date
11/15/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
89056779 05 CO
institution
Provider Business Practice Location Address Details
Address
121 S. Crescent Drive
City
State
Zip
81007-5433
Phone Number
719-595-7575
Fax Number
719-288-2799
person
Provider Business Mailing Address Details
Address
121 S. Crescent Drive
City
State
Zip
81007-5433
Phone Number
719-595-7575
Fax Number
719-288-2799
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA.0003584 (Colorado)
Definition
Definition to come...
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