Individual
MRS. BROOKE LYNN LEITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 745-1401
Mailing address
3901 BEAUBIEN ST, CARDIAC TRANSPLANT - 4TH FL CARL'S BUILDING, DETROIT, MI 48201-2119
(313) 745-1401
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
4704275982
MI
363LP0200X
Pediatric Nurse Practitioner
Primary
4704275982
MI
Other
Enumeration date
10/21/2016
Last updated
09/27/2019
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