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
Primary
RN 13359
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242849503
—
MO
Enumeration date
08/12/2006
Last updated
03/13/2026
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