Healthcare Provider Details

I. General information

NPI: 1144949827
Provider Name (Legal Business Name): BROOKE LAWSON PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2022
Last Update Date: 05/29/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2620 CONSTITUTION BLVD
BEAVER FALLS PA
15010-1278
US

IV. Provider business mailing address

2620 CONSTITUTION BLVD
BEAVER FALLS PA
15010-1278
US

V. Phone/Fax

Practice location:
  • Phone: 724-201-9796
  • Fax: 724-359-0097
Mailing address:
  • Phone: 724-201-9796
  • Fax: 724-359-0097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP026232
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN665461
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: