MEDICARE: KIWANA TRECHELLE BROOKS APRN

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	11001515	FL
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1-103823	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831656701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIWANA TRECHELLE BROOKS APRN

Provider Business Mailing Address
First Line	:	3737 GOVERNMENT BLVD STE 203
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36693-4310
Country	:	US
Telephone Number	:	251-300-7314
Fax Number	:	251-202-7851

Provider Business Practice Location Address
First Line	:	3501 GULF SHORES PKWY
Second Line	:
City	:	GULF SHORES
State	:	AL
Zip	:	36542-5710
Country	:	US
Telephone Number	:	251-300-7134
Fax Number	:

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

Provider Enumeration Date	:	02/26/2019
Last Update Date	:	06/30/2021

Similar Medicare Providers

1730220955 — DR. FRANKLIN ALCIDE DENTREMONT JR. DMD
Practice Location Address:

3501 GULF SHORES PKWY , SUITE 4
GULF SHORES, AL
36542-5710

Practice Phone: 251-943-0004
Practice Fax: 844-208-8385

1629452636 — DENTREMONT DENTAL SERVICES PC
Practice Location Address:

3501 GULF SHORES PKWY , SUITE 4
GULF SHORES, AL
36542-5710

Practice Phone: 251-943-0004
Practice Fax: 844-208-8385

1619032463 — BEHAVIORAL HEALTH OF THE PALM BEACHES
Practice Location Address:

101 CASCADE LN
PALM BEACH SHORES, FL
33404-5710

Practice Phone: 888-879-4975
Practice Fax: 954-781-7173

1801733159 — INGRID WELCH
Practice Location Address:

3640 ASHTON CT
GULF SHORES, AL
36542-9094

Practice Phone: 303-505-4496
Practice Fax:

1225354723 — PUBLIX ALABAMA LLC
Practice Location Address:

160 COTTON CREEK DR STE 100
GULF SHORES, AL
36542-2850

Practice Phone: 251-948-2781
Practice Fax: 251-200-4242

1265294474 — PUBLIX ALABAMA, LLC
Practice Location Address:

1720 GULF SHORES PKWY STE 2
GULF SHORES, AL
36542-3438

Practice Phone: 863-688-1188
Practice Fax: 251-517-3164

Directions to “ KIWANA TRECHELLE BROOKS APRN” 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.