Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brooke Vanessa Cordova, PA-C

Individual provider Physician Assistant · NPI 1477821130

Brooke Vanessa Cordova, PA-C is a Physician Assistant in Fairbanks, Alaska. Works from 2 locations. Licensed in Alaska and Florida.

Licensed in
AK, FL
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1001 Noble St Ste 1
Fairbanks, AK 99701-4991
Phone: (907) 459-3520
Fax: (907) 459-3541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7504 McElvey Rd, Panama City Beach, FL 32408-4919 — (850) 481-1101

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 164786 (AK)
Physician Assistant Taxonomy 363A00000X · Licence PA9106366 (FL)

Record details

NPI number1477821130
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 9, 2011
Last updated in NPPESJuly 2, 2021
Certification dateJuly 2, 2021

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