Individual
HEATHER BROOKE FLAA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2603 E BROADWAY AVE, BISMARCK, ND 58501-5107
(701) 232-5222
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174550
NCCPA
ND
Enumeration date
07/16/2020
Last updated
05/27/2022
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