Tillia, Brooke

Tillia, Brooke is an individual health care provider with primary practice located at 13456 Fairway Loop S , Goodyear AZ 85395-3111. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Tillia, Brooke can be contacted via phone (623) 986-6306.

Contact Information

Primary practice address
13456 Fairway Loop S Goodyear AZ 85395-3111
Phone: (623) 986-6306
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 286040 Arizona

Profile Details

NPI number 1184339947
LBN Legal business name Tillia, Brooke
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2023
Last updated Jan 17th, 2023 - about 3 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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