Individual
BROOKE LEIGH LUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP-C
Contact information
Practice address
445 PINEDA CT, MELBOURNE, FL 32940-7555
(321) 759-9930
Mailing address
445 PINEDA CT, MELBOURNE, FL 32940-7555
(321) 759-9930
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9286879
FL
363LF0000X
Family Nurse Practitioner
Primary
11009696
FL
Other
Enumeration date
10/14/2020
Last updated
05/04/2021
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