Individual
BROOKLYN LEISGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10065 BAYOU GRANDE AVE, SEMINOLE, FL 33772-6002
(859) 230-7508
Mailing address
10065 BAYOU GRANDE AVE, SEMINOLE, FL 33772-6002
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4048184
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
4048184
KY
Other
Enumeration date
10/30/2025
Last updated
01/15/2026
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