Brooks Smith, Leanna Marie

Brooks Smith, Leanna Marie is an individual health care provider with primary practice located at 2900 Doolittle Drive , Ellsworth Air Force Base SD 57760. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Brooks Smith, Leanna Marie can be contacted via phone (605) 385-3111.

Contact Information

Primary practice address
2900 Doolittle Drive Ellsworth Air Force Base SD 57760
Phone: (605) 385-3111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CP000344 South Dakota

Profile Details

NPI number 1407847726
LBN Legal business name Brooks Smith, Leanna Marie
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated May 3rd, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407847726 NPPES
South Dakota Other CP000344 LICENSE

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