BROOKE BAZIL

PROVO, UT
NPI1447630009
Former NameBROOKE KATIE CHRISTENSEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: UT  7197791)
Additional Taxonomies163W00000X Registered Nurse
(Licence: CA  848972)
367500000X Nurse Anesthetist, Certified Registered
(Licence: CA  95000376)
Enumeration Date2015-06-08
Last Update Date2022-11-11
Business Address
BROOKE BAZIL MSN, CRNA
1900 N STATE ST STE 105
PROVO, UT 84604-1354
Phone number: 801-655-5245
Mailing Address
BROOKE BAZIL MSN, CRNA
348 W 90 S
SALEM, UT 84653-9158
Phone number: 801-885-5246