Angelo, Brooke Emma

Angelo, Brooke Emma is an individual health care provider with primary practice located at 4011 Talbot Rd S Ste 300 , Renton WA 98055. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Angelo, Brooke Emma can be contacted via phone (425) 656-5060.

Contact Information

Primary practice address
4011 Talbot Rd S Ste 300 Renton WA 98055
Phone: (425) 656-5060
Fax: (425) 656-5047
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 020306 New York
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA60854540 Washington

Profile Details

NPI number 1477096535
LBN Legal business name Angelo, Brooke Emma
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2016
Last updated Oct 2nd, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477096535 NPPES
Washington MEDICAID 2104406

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