Revels, Brooke Logsdon
Revels, Brooke Logsdon is an individual health care provider with primary practice located at 555 Nw Lake Whitney Pl Ste 103 , Port Saint Lucie FL 34986-1623. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is her primary health care specialty. Revels, Brooke Logsdon can be contacted via phone (772) 468-0042.Contact Information
Primary practice address
555 Nw Lake Whitney Pl Ste 103
Port Saint Lucie FL 34986-1623
Phone: (772) 468-0042
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN11033176 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | APRN11033176 | Florida |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | APRN11033176 | Florida |
Profile Details
| NPI number | 1437907870 |
|---|---|
| LBN Legal business name | Revels, Brooke Logsdon |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2024 |
| Last updated | Aug 3rd, 2025 - about last year |
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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