Individual
BROOKE GELECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
150 N ROADRUNNER PKWY, LAS CRUCES, NM 88011-7044
(575) 556-6440
(575) 556-6445
Mailing address
150 N ROADRUNNER PKWY, LAS CRUCES, NM 88011-7044
(575) 556-6440
(755) 566-4455
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP-03466
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56086717
—
NM
Enumeration date
07/27/2016
Last updated
06/09/2020
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