Individual
BROOKE DORWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17030 LAKESIDE HILLS PLZ STE 102, OMAHA, NE 68130-4656
(402) 758-5800
(402) 758-5809
Mailing address
17030 LAKESIDE HILLS PLZ STE 102, OMAHA, NE 68130-4656
(402) 758-5800
(402) 758-5809
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2201
NE
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083643258
OTHER
—
Enumeration date
02/01/2018
Last updated
03/04/2026
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