Individual
BROOKE CHRISTINE WEINSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2001 S SHIELDS ST E101, FORT COLLINS, CO 80526-1872
(970) 493-5334
(970) 472-0638
Mailing address
2001 S SHIELDS ST E101, FORT COLLINS, CO 80526-1872
(970) 493-5334
(970) 472-0638
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2650
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1082554
NCCPA ID
—
05
—
14185237
—
CO
01
—
2650
STATE LICENSE
CO
01
—
P00817671
RAILROAD MEDICARE
CO
Enumeration date
08/30/2008
Last updated
09/26/2016
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