Dr BROOKE O EDMISTEN PA is a female medical professional, specializing in Physician Assistant. She graduated in 2005.
WAKE FOREST UNIVERSITY HEALTH SCIENCES
MEDICAL CTR BLVD
WINSTON SALEM
NC
271570001
Tel: 3367162734
| Npi | 1811977184 |
| Pac Id | 7012945777 |
| Professional Enrollment Id | I20050803000130 |
| Last Name | EDMISTEN |
| First Name | BROOKE |
| Middle Name | O |
| Suffix | |
| Gender | F |
| Credential | PA |
| Medical School Name | OTHER |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | WAKE FOREST UNIVERSITY HEALTH SCIENCES |
| Group Practice Pac Id | 4486564952 |
| Number Of Group Practice Members | 1719 |
| Line 1 Street Address | MEDICAL CTR BLVD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 271570001 |
| Phone Number | 3367162734 |
| Hospital Affiliation Ccn 1 | 340187 |
| Hospital Affiliation Lbn 1 | DAVIE MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 340047 |
| Hospital Affiliation Lbn 2 | NORTH CAROLINA BAPTIST HOSPITAL |
| Hospital Affiliation Ccn 3 | 340014 |
| Hospital Affiliation Lbn 3 | NOVANT HEALTH FORSYTH MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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