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NPI Code Detail

MEDICARE: MRS. BROOKE ELIZABETH YOUNG APRN, AGNP-C

MEDICARE:  MRS. BROOKE ELIZABETH YOUNG  APRN, AGNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner107110OK

General Provider Information

NPI Number : 1801418991
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BROOKE ELIZABETH YOUNG APRN, AGNP-C
Provider Business Mailing Address
First Line : 8132 JENNY LN
Second Line :
City : EDMOND
State : OK
Zip : 73034-4053
Country : US
Telephone Number : 405-808-7664
Fax Number :
Provider Business Practice Location Address
First Line : 6825 E TENNESSEE AVE STE 325
Second Line :
City : DENVER
State : CO
Zip : 80224-1645
Country : US
Telephone Number : 720-541-9570
Fax Number : 970-449-0575
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2020
Last Update Date : 12/04/2025

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Directions to “ MRS. BROOKE ELIZABETH YOUNG APRN, AGNP-C” Practice Location

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