Individual
BROOKE THOUVENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
842 N MAIN ST, LANSING, KS 66043-1305
(913) 250-5155
(913) 250-5515
Mailing address
715 SOUTHWIND DR, JUNCTION CITY, KS 66441-9021
(785) 209-3779
(785) 209-3780
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
14-133740-051
KS
163WP0808X
Psychiatric/Mental Health Registered Nurse
2009026463
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2019004291
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
53-80720-051
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3005123750001
—
KS
Enumeration date
02/08/2019
Last updated
01/09/2026
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