| Doctor Name: | EVELLE MONET BROCK |
| NPI Number: | 1073647145 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 162212 |
| Business Practice Address: | 10190 Bannock St Suite 100 Northglenn, CO - 802606083 |
| Business Phone Number: | 3032556218 |
| Business Fax Number: | |
| Mailing Address: | 6162 S. Willow Drive, Suite 100 GREENWOOD VILLAGE |
| State: | CO |
| Postal Code: | 801115114 |
| Phone Number: | 3032209200 |
| Fax Number: | 3032209208 |
| NPI Enumeration Date: | 03/14/2007 |
| NPI Last Update Date: | 09/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 162212 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |