Healthcare Provider Details

I. General information

NPI: 1780114819
Provider Name (Legal Business Name): AUBRIE E.W. BROOKS DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2017
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

724 S 1600 W STE A
MAPLETON UT
84664-4347
US

IV. Provider business mailing address

617 W 1475 N
OREM UT
84057-2505
US

V. Phone/Fax

Practice location:
  • Phone: 385-498-0102
  • Fax:
Mailing address:
  • Phone: 385-498-0102
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number7888043-4408
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: