Individual
BROOKE ERIN DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
332 S ORCHARD SPRINGS DR STE 150, PUEBLO, CO 81007-6154
(719) 253-7640
Mailing address
930 S CAYUGA DR, PUEBLO, CO 81007-1935
(719) 251-2186
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
201810523
CO
Other
Enumeration date
11/03/2018
Last updated
05/14/2025
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