Individual provider · Type 1 NPI
Lisa Brooks, NURSE PRATITIONER
Adult Health Nurse Practitioner · St. Louis, MO
NPI number
1194132290
Active
Practice location
915 N Grand Blvd
St. Louis, MO 63106-1621
Mailing address
3639 Oregon Ave
St. Louis, MO 63118-3805
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 2013027647 (MO) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1194132290
Lisa Brooks, NURSE PRATITIONER's National Provider Identifier is 1194132290, issued on Jul 21, 2014. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in St. Louis, MO. The record was last updated on Jul 21, 2014.