Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | APRN81187-NP-C | WV |
N | 363LF0000X | Nurse Practitioner - Family Medicine | APRN81187-NP-C | WV |
NPI | 1003299116 |
---|---|
Provider Name | Leigh Brooks |
First Address | Princeton, WV 24740-7660 |
Second Address | Princeton, WV 24740-7660 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2015 |
Last Update Date | 09/06/2020 |