Provider Demographics
NPI:1740478593
Name:ANDREWS, BROOKE E (PA-C)
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:E
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 LAKE AVE
Mailing Address - Street 2:SUITE ONE
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-2734
Mailing Address - Country:US
Mailing Address - Phone:603-669-5454
Mailing Address - Fax:603-641-0360
Practice Address - Street 1:700 LAKE AVE
Practice Address - Street 2:SUITE ONE
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-2734
Practice Address - Country:US
Practice Address - Phone:603-669-5454
Practice Address - Fax:603-641-0360
Is Sole Proprietor?:No
Enumeration Date:2007-10-05
Last Update Date:2023-11-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NH0646363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH0646OtherSTATE LICENSE