Individual
BROOKE A NOSOVITSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2730 COMMERCIAL WAY, MONTROSE, CO 81401-5693
(970) 964-4036
Mailing address
2730 COMMERCIAL WAY, MONTROSE, CO 81401-5693
(970) 964-4036
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10774
GA
363A00000X
Physician Assistant
4311
TN
363A00000X
Physician Assistant
Primary
PA.0008575
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2020
Last updated
05/28/2024
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