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Carissa Ann Brooks
Medical Physician Assistant in Wilder, Vermont
NPI 1336730498

Carissa Ann Brooks is a Medical Physician Assistant based in Wilder, VT and is specialized in Medical. Carissa Ann Brooks practices in Wilder, VT. The NPI Number for Carissa Ann Brooks is 1336730498 and holds a License No. (Vermont).

The current practice location address for Carissa Ann Brooks is 221 Gillette Street, Wilder, VT and can be reached out via phone at 518-424-7648.

Location: 221 Gillette Street, Wilder, VT, 05088-0863
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336730498
Provider Name
Carissa Ann Brooks
Credential
Provider Entity Type
Individual
Gender
Female
Address
221 Gillette Street, Wilder, VT, 05088-0863
Phone Number
518-424-7648
Fax Number
Provider Enumeration Date
02/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
221 Gillette Street
City
Wilder
State
Vermont
Zip
05088-0863
Phone Number
518-424-7648
Fax Number
person
Provider Business Mailing Address Details
Address
221 Gillette Street
City
Wilder
State
Vermont
Zip
05088-0863
Phone Number
518-424-7648
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
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