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NPI Code Detail

MEDICARE: WILLIAM LEE BROOKS NP

MEDICARE:   WILLIAM LEE BROOKS  NP
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
1363L00000XNurse PractitionerNP7187CA

General Provider Information

NPI Number : 1407919418
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM LEE BROOKS NP
Provider Business Mailing Address
First Line : PO BOX 255347
Second Line :
City : SACRAMENTO
State : CA
Zip : 95865-5347
Country : US
Telephone Number : 800-470-0071
Fax Number :
Provider Business Practice Location Address
First Line : 2751 DEL PASO RD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95835-2303
Country : US
Telephone Number : 916-453-5145
Fax Number : 916-419-2616
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2006
Last Update Date : 12/21/2025

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