Individual provider · Type 1 NPI
Carissa Ann Brooks
Medical Physician Assistant · Wilder, VT
NPI number
1336730498
Active
Practice location
221 Gillette Street
Wilder, VT 05088-0863
Mailing address
PO Box 863
Wilder, VT 05088-0863
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
About NPI 1336730498
Carissa Ann Brooks's National Provider Identifier is 1336730498, issued on Feb 1, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Wilder, VT. The record was last updated on Feb 1, 2021.