| Doctor Name: | HEATHER BROOKSBY |
| NPI Number: | 1447655063 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 352929-1206 |
| Business Practice Address: | 3705 N 6100 W Ivins, UT - 84738 |
| Business Phone Number: | 4356888198 |
| Business Fax Number: | |
| Mailing Address: | 440 N Paiute Dr, CEDAR CITY |
| State: | UT |
| Postal Code: | 847216181 |
| Phone Number: | 4355861112 |
| Fax Number: | |
| NPI Enumeration Date: | 10/24/2014 |
| NPI Last Update Date: | 10/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 352929-1206 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |