Brooke Emma Angelo, PA-C
Physician Assistant, Surgical in Renton, WA. Individual provider (NPI-1).
NPI number1477096535
StatusActive
Last updated in NPPESOct 2, 2018
Details
- NPI
- 1477096535
- Entity type
- Individual (NPI-1)
- Name
- Brooke Emma Angelo
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 22, 2016
- Last updated
- Oct 2, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA60854540 | WA | Yes |
| 363A00000X | Physician Assistant | 020306 | NY |
Practice location
4011 Talbot Rd S Ste 300Renton, WA 98055
Phone 425-656-5060 · Fax 425-656-5047
Mailing address
4011 Talbot Rd S Ste 300Renton, WA 98055-5791
Phone 425-656-5060 · Fax 425-656-5047
Other practice locations
622 W 168th St
New York, NY 10032-3720
New York, NY 10032-3720
Phone 212-305-2500
27005 168th Pl Se Ste 201
Covington, WA 98042-4902
Covington, WA 98042-4902
Phone 253-630-3660 · Fax 253-631-1591
24060 Se Kent Kangley Rd Ste D-100
Maple Valley, WA 98038-6801
Maple Valley, WA 98038-6801
Phone 425-358-7708 · Fax 425-656-5047
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