BROOKE ETHERINGTON P.A.
NPI 1104009737
Physician Assistant - Medical in Millcreek, UT

Q: What is Brooke Etherington's NPI number?

The NPI number for Brooke Etherington is 1104009737. It was assigned to this individual provider in the NPPES registry on December 5, 2007.

Q: What is Brooke Etherington's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since December 05, 2007

3300 E MILLCREEK CANYON RD, MILLCREEK, UT 84109(801) 633-6268 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Brooke Etherington P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOKE ETHERINGTON P.A. (NPI 1104009737) is an individual medical provider in Millcreek, Utah, licensed in Utah (342203-8906) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1104009737

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameBROOKE ETHERINGTONCredential: P.A.

Location Address3300 E MILLCREEK CANYON RDMillcreek, UT 84109-4104

Mailing Address3300 E Millcreek Canyon RdMillcreek, UT 84109-4104 · (801) 633-6268

Phone(801) 633-6268

Sole ProprietorNo

Enumeration DateDecember 5, 2007

Last NPPES UpdateMarch 5, 2026

NPPES CertifiedMarch 5, 2026

✔ NPI 1104009737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in UT · 342203-8906

3300 E MILLCREEK CANYON RD, Millcreek, UT 84109

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brooke Etherington's NPI number?

The NPI number for Brooke Etherington is 1104009737. It was assigned to this individual provider in the NPPES registry on December 5, 2007.

Where is Brooke Etherington located?

Brooke Etherington practices at 3300 E Millcreek Canyon Rd, Millcreek, UT 84109. The listed phone number is (801) 633-6268.

What is Brooke Etherington's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Brooke Etherington was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.