Provider Demographics
NPI:1750449021
Name:AZIE-RENTZ, BROOKE (ND)
Entity Type:Individual
Prefix:DR
First Name:BROOKE
Middle Name:
Last Name:AZIE-RENTZ
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22635 NE MARKETPLACE DR
Mailing Address - Street 2:SUITE 130
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98053-5885
Mailing Address - Country:US
Mailing Address - Phone:425-949-5961
Mailing Address - Fax:425-949-5962
Practice Address - Street 1:22635 NE MARKETPLACE DR
Practice Address - Street 2:SUITE 130
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98053-5885
Practice Address - Country:US
Practice Address - Phone:425-949-5961
Practice Address - Fax:425-949-5962
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT1446175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAMA1725552OtherDEA