Search › Alaska › 363A00000X
Brooke Cordova, PA-C
NPI 1477821130 · on the registry since 2011
Practice
- Address
- 1001 Noble St Ste 1
Fairbanks, AK 99701 - Phone
- (907) 459-3520
- Fax
- (907) 459-3541
- Organisation at this address
- Tanana Valley Clinic
Prescription Center Llc
Eye Clinic Of Fairbanks
Tanana Valley Clinic Llc
Professional Pharmacy LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 69
Additional practice sites
- 7504 Mcelvey Rd, Panama City Beach, FL
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- FL, AK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-07-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska