Individual
ERIN ELIZABETH BRAZZALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1006 CENTRE AVE, FORT COLLINS, CO 80526-1849
(970) 482-9001
Mailing address
151 SOUTHHALL LN STE 300, MAITLAND, FL 32751-7172
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0007016
CO
Other
Enumeration date
03/30/2022
Last updated
12/15/2022
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