Provider Demographics
NPI:1780098871
Name:HARLE, BROOKE NOELLE (CNP)
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:NOELLE
Last Name:HARLE
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:BROOKE
Other - Middle Name:NOELLE
Other - Last Name:GEISELMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:730 E 34TH ST
Mailing Address - Street 2:ESSENTIA HEALTH HIBBING CLINIC
Mailing Address - City:HIBBING
Mailing Address - State:MN
Mailing Address - Zip Code:55746-5109
Mailing Address - Country:US
Mailing Address - Phone:218-263-1000
Mailing Address - Fax:
Practice Address - Street 1:730 E 34TH ST
Practice Address - Street 2:ESSENTIA HEALTH HIBBING CLINIC
Practice Address - City:HIBBING
Practice Address - State:MN
Practice Address - Zip Code:55746-5109
Practice Address - Country:US
Practice Address - Phone:218-263-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-17
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR179577-0363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily