Individual provider · Type 1 NPI
Brooke Etherington, P.A.
Medical Physician Assistant · Millcreek, UT
NPI number
1104009737
Active
Practice location
3300 E Millcreek Canyon Rd
Millcreek, UT 84109-4104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 342203-8906 (UT) |
Medical Physician Assistant: Definition to come...
About NPI 1104009737
Brooke Etherington, P.A.'s National Provider Identifier is 1104009737, issued on Dec 5, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Millcreek, UT. The record was last updated on Mar 5, 2026.