IndividualActive
Brooke Cordova, PA-C
NPI 1477821130 · Physician Assistant · Fairbanks, AK
Provider details
- NPI number
- 1477821130
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA9106366 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1001 Noble St Ste 1
Fairbanks, AK 99701-4991
Phone: (907) 459-3520
Fax: (907) 459-3541
Street-level locationGet directions
Mailing address
Po Box 73720
Fairbanks, AK 99707-3720
Additional practice locations (1)
- 7504 Mcelvey RdPanama City Beach, FL 32408-4919Phone: (850) 481-1101Fax: (850) 441-3748
Registry dates
- Enumerated
- 2011-12-09
- Last updated
- 2021-07-02
- Certified
- 2021-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.