# BROOKE RICHARD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1669841938
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA.200843 | LA | Yes |

## Other

- **Enumeration date:** 09/17/2015
- **Last updated:** 03/02/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 03809331 | — | MS |
| 05 | — | 2406116 | — | LA |