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General NPI Number Information
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NPI Number | 1487337259
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Entity Type | Individual
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Provider Name | BROOKE ELIZABETH LANDIS APRN-CNP
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Gender | Female
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Dates
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Enumeration Date | 08/09/2023
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 6895 E HAMPDEN AVE
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City | DENVER
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State | CO
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Zip | 80224-3047
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Country | US
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Telephone | 303-861-7878
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Fax | 303-894-8066
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Provider Business Mailing Address
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Address Line | 4301 W 35TH AVE
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City | DENVER
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State | CO
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Zip | 80212-1750
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Country | US
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Telephone | 719-352-1814
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | C-APN.0102190
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License Number State | CO
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