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Individual

NICOLETTE BREWER HOOGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
112 W SPENCER AVE STE B, GUNNISON, CO 81230-2546
(303) 422-9438
Mailing address
PO BOX 668, ARVADA, CO 80001-0668
(303) 422-9438

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
196470
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
196470
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8053345
NC
Enumeration date
09/18/2008
Last updated
02/09/2024
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