Individual
PATRICIA MARIE BRUBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1001 S MAIN ST, LAMAR, CO 81052-3838
(719) 336-8721
(719) 336-9763
Mailing address
1001 S MAIN ST, LAMAR, CO 81052-3838
(719) 336-8721
(719) 336-9763
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-1635785
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN-1635785
NURSING LICENSE
CO
Enumeration date
06/26/2017
Last updated
07/21/2022
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