Fandrich, Brooke

Fandrich, Brooke is an individual health care provider with primary practice located at 1471 Dewar Dr , Rock Springs WY 82901-5814. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Fandrich, Brooke can be contacted via phone (307) 630-3466.

Contact Information

Primary practice address
1471 Dewar Dr Rock Springs WY 82901-5814
Phone: (307) 630-3466
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 49873 Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 13074058-4405 Utah

Profile Details

NPI number 1033785860
LBN Legal business name Fandrich, Brooke
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2021
Last updated May 28th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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