Healthcare Provider Details

I. General information

NPI: 1801418991
Provider Name (Legal Business Name): BROOKE ELIZABETH YOUNG APRN, AGNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2020
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6825 E TENNESSEE AVE STE 325
DENVER CO
80224-1645
US

IV. Provider business mailing address

8132 JENNY LN
EDMOND OK
73034-4053
US

V. Phone/Fax

Practice location:
  • Phone: 720-541-9570
  • Fax: 970-449-0575
Mailing address:
  • Phone: 405-808-7664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number107110
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: