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NPI Profile for BROOKE KOLLMAN in ALBUQUERQUE, NM.
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Student in an Organized Health Care Education/Training Program |
390200000X | |||
Emergency Medicine |
207P00000X | 93 | Physician/Emergency Medicine | |
Physician Assistant |
363A00000X | 97 | Physician Assistant |
| NPI Number | 1255030078 |
|
| Status | Active | |
| Credentials | PA-C (Physician Assistant-Certified) | |
| Entity | Individual | |
| Enumeration date | 03/01/2023 | |
| Last updated | 08/13/2025 - About 10 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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BROOKE KOLLMAN
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BROOKE KOLLMAN, PA-C