Provider Demographics
NPI:1477792802
Name:PRATT, BROOKE DANIELLE (APRN)
Entity type:Individual
Prefix:MRS
First Name:BROOKE
Middle Name:DANIELLE
Last Name:PRATT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2695 ROCKY MOUNTAIN AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-9071
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6161 TIMBER RAIL POINT
Practice Address - Street 2:SUITE 100
Practice Address - City:FOUNTAIN
Practice Address - State:CO
Practice Address - Zip Code:80817
Practice Address - Country:US
Practice Address - Phone:719-365-0110
Practice Address - Fax:719-365-0111
Is Sole Proprietor?:No
Enumeration Date:2009-02-09
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN-168708363LF0000X
TN27334363LF0000X
TX2397363LF0000X
CO5957363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily