Provider Demographics
NPI:1184220014
Name:LAUGHLIN, BROOKE ALEXIS
Entity Type:Individual
Prefix:
First Name:BROOKE
Middle Name:ALEXIS
Last Name:LAUGHLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 FELSHIRE LN
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32137-9270
Mailing Address - Country:US
Mailing Address - Phone:330-401-3847
Mailing Address - Fax:
Practice Address - Street 1:27 FELSHIRE LN
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32137-9270
Practice Address - Country:US
Practice Address - Phone:330-401-3847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-07
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker