Healthcare Provider Details

I. General information

NPI: 1932910346
Provider Name (Legal Business Name): BROOKE HALDEMAN EMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2025
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7557 E WARREN CIR APT 5-307
DENVER CO
80231-5336
US

IV. Provider business mailing address

7557 E WARREN CIR APT 5-307
DENVER CO
80231-5336
US

V. Phone/Fax

Practice location:
  • Phone: 812-798-6022
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number4737-8347-5089
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: