MEDICARE: LANAIR BROOKS PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	176339	NC

General Provider Information

NPI Number	:	1063371839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LANAIR BROOKS PMHNP-BC

Provider Business Mailing Address
First Line	:	1805 JEFFREY BRYAN DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28213-3858
Country	:	US
Telephone Number	:	704-352-5433
Fax Number	:

Provider Business Practice Location Address
First Line	:	1805 JEFFREY BRYAN DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28213-3858
Country	:	US
Telephone Number	:	704-352-5433
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

Similar Medicare Providers

1427692540 — MARISSA DAVIS MA CCC-SLP
Practice Location Address:

24151 BEATRIX BLVD UNIT 1006
PORT CHARLOTTE, FL
33954-3858

Practice Phone: 407-455-3505
Practice Fax:

1457210114 — AA METRO TRANSPORTATION INC
Practice Location Address:

2514 WATERS VISTA CIR
CHARLOTTE, NC
28213-4183

Practice Phone: 704-258-5343
Practice Fax:

1073088647 — AMBER SIMONE HARRISON
Practice Location Address:

2329 E W T HARRIS BLVD
CHARLOTTE, NC
28213-5186

Practice Phone: 704-529-9090
Practice Fax:

1053275206 — ABUNDANTLY GRACED COMMUNITY SUPPORTIVE SERVICES INC
Practice Location Address:

5736 N TRYON ST STE 125A
CHARLOTTE, NC
28213-6886

Practice Phone: 704-713-5652
Practice Fax:

1245198175 — JORDAN MACKENZIE HUMBIRD
Practice Location Address:

8933 AVEBURY DR APT J
CHARLOTTE, NC
28213-3100

Practice Phone: 980-205-4612
Practice Fax:

1477411270 — ANGELS ASSISTING HOME CARE
Practice Location Address:

5736 N TRYON ST UNIT 225
CHARLOTTE, NC
28213-6850

Practice Phone: 704-496-3792
Practice Fax:

Directions to “ LANAIR BROOKS PMHNP-BC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.