MS. Brooke S. Southerland, PA-C
MS. Brooke S. Southerland, PA-C is a Student in an Organized Health Care Education/Training Program in Indianapolis, Indiana. Licensed in Indiana and New York. Registered with an NPI since 2011.
- Licensed in
- IN, NY
- 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.
Practice location Address checks out
Indianapolis, INFax: (317) 962-8552
No coordinates on file. Search this address in Google Maps
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 10001364A (IN) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X (NY) |
Record details
| NPI number | 1205123833 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | July 4, 2011 |
| Last updated in NPPES | February 18, 2021 |
| Certification date | February 18, 2021 |
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