Individual
BROOKE KOLLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-2411
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
PA2025-0055
NM
363A00000X
Physician Assistant
PA2025-0055
NM
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PA2025-0055
NM
Other
Enumeration date
03/01/2023
Last updated
08/13/2025
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