Elizabeth Ann Brock, WHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

93249 Issued in CO

Practice address

275 S Aspen St
Buckley Afb, CO 80011-9562

Phone

(720) 847-7440

NPI assigned

May 25, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1255542809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 S 43RD ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803056005",
            "telephone_number": "303-494-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 S ASPEN ST",
            "city": "BUCKLEY AFB",
            "state": "CO",
            "postal_code": "800119562",
            "telephone_number": "720-847-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CO",
            "license": "93249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 460TH Medgrp-Buckley
• 460TH Medical Logistics WHS
• Kelsey Alayne Ambler, WHNP-BC
• Gabrielle Quirao Aragon, FNP
• Amit Bhardwaj, MD
• Roger Joel Brogis II, DO
• Kimberly Lynne Burford, D.M.D.
• Jay Matthew Butler, O.D.
• Kory Joseph Carpenter, DDS
• Nancy Carrion-Wooddy

• Women's Health Nurse Practitioner in Buckley Afb, CO
• Providers in Buckley Afb, CO by specialty
• Women's Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.