Basic Information
| Provider Information | |||||||||
| NPI: | 1508308065 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BROOKS | ||||||||
| FirstName: | LINSEY | ||||||||
| MiddleName: | KAYE | ||||||||
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| Credential: | WHNP-BC, FNP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 364 GEORGIA ST | ||||||||
| Address2: | |||||||||
| City: | THERMOPOLIS | ||||||||
| State: | WY | ||||||||
| PostalCode: | 824439601 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3077607333 | ||||||||
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| Practice Location | |||||||||
| Address1: | 120 N C AVE | ||||||||
| Address2: | |||||||||
| City: | THERMOPOLIS | ||||||||
| State: | WY | ||||||||
| PostalCode: | 824432410 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3078645534 | ||||||||
| FaxNumber: | 3078645226 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/14/2016 | ||||||||
| LastUpdateDate: | 03/17/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LW0102X | 38656.1564 | WY | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Women's Health | 363L00000X | 385656.1564 | WY | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.