Individual
MRS. BROOKE LOGSDON REVELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
APRN11033176
FL
363LF0000X
Family Nurse Practitioner
APRN11033176
FL
363LW0102X
Women's Health Nurse Practitioner
APRN11033176
FL
Other
Enumeration date
05/09/2024
Last updated
08/03/2025
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