Provider Demographics
NPI:1053897264
Name:BROOKS, ERIN (APRN, CNS)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:BROOKS
Suffix:
Gender:F
Credentials:APRN, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4520 YARROW ST
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-3254
Mailing Address - Country:US
Mailing Address - Phone:214-605-9595
Mailing Address - Fax:
Practice Address - Street 1:1606 PR CTR PKWY STE 230
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-4004
Practice Address - Country:US
Practice Address - Phone:303-498-2260
Practice Address - Fax:303-498-2236
Is Sole Proprietor?:No
Enumeration Date:2018-07-11
Last Update Date:2018-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0993911-CNS364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COAPN.0993911-CNSOtherCOLORADO DEPARTMENT OF REGULATORY AGENCIES