NPI 1043955107

Brooke Smith

Practitioner Physician Assistant Newburgh, IN

Practice location

Address: 4007 Gateway Blvd STE 100, Newburgh, IN 47630-8947
Phone: (812) 842-0907
Fax: (812) 490-7051
Mailing address: PO Box 1230, Evansville, IN 47706-1230

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 10006352A (IN)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1043955107
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 May 2022
Record last updated: 16 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.