BROOKE ETHERINGTON P.A. NPI 1104009737

NPI Information

  • NPI: 1104009737
  • Provider Name: BROOKE ETHERINGTON, P.A.
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 255 WILLIAMS WAY
    MOAB, UT
    ZIP 84532
  • Phone: (801) 633-6268

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NPI Details

Brooke Etherington, P.A. is a medical physician assistant in Moab, UT. Brooke Etherington, P.A. NPI is 1104009737. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

255 WILLIAMS WAY
MOAB, UT
ZIP 84532-370
Phone: (801) 633-6268

The enumeration date for this NPI number is 12/5/2007 and was last updated on 12/5/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical342203-8906UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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