Leah C Brake
Nurse Practitioner - Women's Health
3050 Regent Blvd Ste 100
Irving
, Texas 75063-3107
Leah C Brake
Nurse Practitioner - Women's Health
3050 Regent Blvd Ste 100
Irving
, Texas 75063-3107
(406) 728-5073
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Leah C Brake
- 9060 Springfield Close
- Missoula, MT
- Zip : 59808
- Phone : (406) 728-5073
Second Address
- Leah C Brake
- 3050 Regent Blvd Ste 100
- Irving, TX
- Zip : 75063-3107
- Phone : (214) 689-3600
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LW0102X | Nurse Practitioner - Women's Health | RN-32900 | MT |
National Provider Identifier
| NPI | 1083057830 |
|---|---|
| Provider Name | Leah C Brake |
| First Address | Missoula, MT 59808 |
| Second Address | Irving, TX 75063-3107 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/04/2013 |
| Last Update Date | 25/07/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.