Individual
MS. MICHELLE LEAVETHA BROOKS
Active
Individual
MS. MICHELLE LEAVETHA BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
140862
AK
363LF0000X
Family Nurse Practitioner
Primary
2025027141
MO
363LP2300X
Primary Care Nurse Practitioner
231027
AK
Other
Enumeration date
08/26/2024
Last updated
11/04/2025
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