Individual
EVELLE MONET BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10465 MELODY DR STE 226, NORTHGLENN, CO 80234-4120
(720) 331-6899
Mailing address
700 S GRAND AVE, FORT LUPTON, CO 80621-1215
(303) 718-0638
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
162212
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0997405
CO
Other
Enumeration date
03/14/2007
Last updated
04/12/2022
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