MEDICARE: BROOKE HALDEMAN EMT

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
1	146N00000X	Basic Emergency Medical Technician	4737-8347-5089	CO

General Provider Information

NPI Number	:	1932910346
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BROOKE HALDEMAN EMT

Provider Business Mailing Address
First Line	:	7557 E WARREN CIR APT 5-307
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-5336
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7557 E WARREN CIR APT 5-307
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-5336
Country	:	US
Telephone Number	:	812-798-6022
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2025
Last Update Date	:	01/15/2025

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Directions to “ BROOKE HALDEMAN EMT” Practice Location

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