IndividualActive
Carissa Brooks
NPI 1336730498 · Medical Physician Assistant · Wilder, VT
Provider details
- NPI number
- 1336730498
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
221 Gillette Street
Wilder, VT 05088-0863
Phone: (518) 424-7648
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 863
Wilder, VT 05088-0863
Registry dates
- Enumerated
- 2021-02-01
- Last updated
- 2021-02-01
- Certified
- 2021-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.