MRS. LESLIE ANNE BROUILLETTE


Address: 131 Stony Cir Ste 1600, Santa Rosa, CA 95401-9520
Phone: 7075417700

MRS. LESLIE ANNE BROUILLETTE (NPI# 1962652479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962652479
Entity Type Individual
Full Name MRS. LESLIE ANNE BROUILLETTE
Credential NP
Practice Address 131 Stony Cir Ste 1600
Santa Rosa
CA 95401-9520
Mailing Address 2350 W El Camino Real Fl 2
Mountain View
CA 94040-6203
Practice Telephone 7075417700
Practice Fax Number 7075735415
Mailing Telephone 7075417700
Mailing Fax Number 7075735415
Enumeration Date 2008-09-22
Last Update Date 2018-11-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WC0400X Registered Nurse
Specialization: Case Management
529152 CA Nursing Service Providers
N 163WC1500X Registered Nurse
Specialization: Community Health
529152 CA Nursing Service Providers
N 163WL0100X Registered Nurse
Specialization: Lactation Consultant
529152 CA Nursing Service Providers
N 163WM0102X Registered Nurse
Specialization: Maternal Newborn
529152 CA Nursing Service Providers
N 163WP0200X Registered Nurse
Specialization: Pediatrics
529152 CA Nursing Service Providers
N 163WP1700X Registered Nurse
Specialization: Perinatal
529152 CA Nursing Service Providers
N 163WX0002X Registered Nurse
Specialization: Obstetric, High-Risk
529152 CA Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
NP95001265 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA FEDERAL DEA LICENSE MB3360889 01
CA STATE MEDICAL LICENSE NP95001265 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
3883 Airway Dr Ste 120, Santa Rosa, CA 954031678 7075214495 7075735421
3883 Airway Dr Ste 300, Santa Rosa, CA 954031671 7075218841

Office Location

Street Address 131 STONY CIR STE 1600
City SANTA ROSA
State CA
Zip Code 95401-9520

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245207026 Jeremy Carl Mesches Family Medicine 131 Stony Cir Ste 1600, Santa Rosa, CA 95401-9520 2006-03-01
1336593755 Glency Sue Marie Senires Corominas Family Medicine 131 Stony Cir Ste 1600, Santa Rosa, CA 95401-9520 2016-04-21
1376922773 Erica Scott Nurse Practitioner 131 Stony Cir Ste 1600, Santa Rosa, CA 95401-9520 2015-05-19
1669860177 Haleigh Elizabeth Lunas Nurse Practitioner 131 Stony Cir Ste 1600, Santa Rosa, CA 95401-9520 2015-01-06
1811267552 Emily Jo Baker Nurse Practitioner 131 Stony Cir Ste 1600, Santa Rosa, CA 95401-9520 2012-01-11
1619263217 Karina Garcia Silva Atkinson Family Medicine 131 Stony Cir Ste 1600, Santa Rosa, CA 95401-9520 2011-06-22
1477846863 Demara Nicole Miller Family Medicine 131 Stony Cir Ste 1600, Santa Rosa, CA 95401-9520 2011-05-18
1720217235 Manfred L Ramos Family Medicine 131 Stony Cir Ste 1600, Santa Rosa, CA 95401-9520 2009-07-06
1629243993 Kristine Mary Henry Nurse Practitioner 131 Stony Cir Ste 1600, Santa Rosa, CA 95401-9520 2008-04-28
1558422717 Kathleen L. Horan Family Medicine 131 Stony Cir Ste 1600, Santa Rosa, CA 95401-9520 2006-12-12
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972148575 Megan Elizabeth Jones In Home Supportive Care 1239 Eardley Ave, Santa Rosa, CA 95401 2019-11-07
1801447230 Patty Macisaac Technician 3221 Oak Farm Lane, Santa Rosa, CA 95401 2019-09-26
1386114981 Victoria Maria Guillory Dental Hygienist 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 2018-11-27
1811470727 Chemarin Eve Boyd Student in an Organized Health Care Education/Training Program 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 2018-09-07
1073008181 Cristavel Camacho Behavioral Analyst 1439 Range Ave, #101, Santa Rosa, CA 95401 2018-06-30
1619479102 Victoria King Behavior Technician 1335 N. Dutton Ave., Santa Rosa, CA 95401 2018-03-01
1114436060 Lacey Lynn Palmer Counselor 341 Irwin Lane, Santa Rosa, CA 95401 2017-09-22
1720530587 Compassionate Homecare Solutions, LLC In Home Supportive Care 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 2016-10-27
1366998981 William Glenn Marriage & Family Therapist 1496 Willowside Road, Santa Rosa, CA 95401 2016-09-01
1790144046 Advocacy Home Nursing, Inc Home Health 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 2016-02-15
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780160234 Susan English Knowles Nurse Practitioner 3383 Airway Dr, Santa Rosa, CA 95403-2005 2018-07-18
1912498726 Lydia Ann Smith Nurse Practitioner 2375 Range Ave Unit 1, Santa Rosa, CA 95403-9419 2018-05-29
1659870186 Shannon Cross Todd Nurse Practitioner 4729a Hoen Ave, Santa Rosa, CA 95405-7862 2018-02-11
1093222408 Mary Esther Andich Nurse Practitioner 2800 Cleveland Ave Ste A, Santa Rosa, CA 95403-2784 2018-01-08
1316473697 Renee Novakovich Nurse Practitioner 704 Adobe Dr, Santa Rosa, CA 95404-2706 2017-05-05
1780139634 Robin Shank Sanderson Nurse Practitioner 751 Lombardi, Santa Rosa, CA 95407 2016-08-22
1437549235 Jennifer Takagi Nurse Practitioner 1803 Aspen Leaf Ln, Santa Rosa, CA 95401-4295 2015-01-31
1164828828 Danielle J Daye Nurse Practitioner 50 Montgomery Dr, Santa Rosa, CA 95404-6615 2014-11-07
1609208354 Derrick Pelton Nurse Practitioner 2360 Mendocino Ave Ste A4, Santa Rosa, CA 95403-3154 2013-08-05
1225313869 Kristine Monson Brown Nurse Practitioner 1501 Mendocino Ave, Santa Rosa, CA 95401-4332 2011-10-14
Find all providers in SANTA ROSA

Competitor

Search similar providers

City SANTA ROSA
Zip Code 95401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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