Healthcare Provider Details

I. General information

NPI: 1548106537
Provider Name (Legal Business Name): BROOKE CHRISTENSEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1817 SW NAPA VALLEY DR
LEES SUMMIT MO
64082-3821
US

IV. Provider business mailing address

1817 SW NAPA VALLEY DR
LEES SUMMIT MO
64082-3821
US

V. Phone/Fax

Practice location:
  • Phone: 913-558-9772
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number2022016876
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: