Individual
MRS. LEESA ANNETTE MCBROOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
100 S 4TH ST STE 550, SAINT LOUIS, MO 63102-1897
(866) 849-0692
(888) 973-8821
Mailing address
PO BOX 211699, EAGAN, MN 55121-3699
(866) 849-0692
(888) 973-8821
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
163428
KS
363LF0000X
Family Nurse Practitioner
3-003019
AL
363LF0000X
Family Nurse Practitioner
71018010A
IN
363LF0000X
Family Nurse Practitioner
GAA-NP005043
GA
363LF0000X
Family Nurse Practitioner
Primary
RN 13359
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242849503
—
MO
Enumeration date
08/12/2006
Last updated
05/22/2026
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