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General NPI Number Information
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NPI Number | 1801418991
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Entity Type | Individual
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Provider Name | BROOKE ELIZABETH YOUNG APRN, AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 05/11/2020
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 6825 E TENNESSEE AVE STE 325
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City | DENVER
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State | CO
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Zip | 80224-1645
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Country | US
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Telephone | 720-541-9570
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Fax | 970-449-0575
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Provider Business Mailing Address
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Address Line | 8132 JENNY LN
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City | EDMOND
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State | OK
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Zip | 73034-4053
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Country | US
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Telephone | 405-808-7664
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 107110
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License Number State | OK
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