Tillia, Brooke
Tillia, Brooke is an individual health care provider with primary practice located at 13456 Fairway Loop S , Goodyear AZ 85395-3111. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Tillia, Brooke can be contacted via phone (623) 986-6306.Contact Information
Primary practice address
13456 Fairway Loop S
Goodyear AZ 85395-3111
Phone: (623) 986-6306
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 286040 | Arizona |
Profile Details
NPI number | 1184339947 |
---|---|
LBN Legal business name | Tillia, Brooke |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 17th, 2023 |
Last updated | Jan 17th, 2023 - about last year |
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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