BROOKE LAVIGNETTE


Address: 1805 Summit Dr, West Lafayette, IN 47906-2231
Phone: 7655867294

BROOKE LAVIGNETTE (NPI# 1548875669) 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) 1548875669
Entity Type Individual
Full Name BROOKE LAVIGNETTE
Practice Address 1805 Summit Dr
West Lafayette
IN 47906-2231
Practice Telephone 7655867294
Mailing Telephone 7655867294
Enumeration Date 2020-09-15
Last Update Date 2020-09-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
71010348A IN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1805 SUMMIT DR
City WEST LAFAYETTE
State IN
Zip Code 47906-2231

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1588089536 Sarah Pierce Pharmacist 2636 Us 52, West Lafayette, IN 47906 2014-02-27
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1871784330 Sally A Timmons LLC Social Worker 120 Sagamore Parkway West, West Lafayette, IN 47906 2007-08-08
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City WEST LAFAYETTE
Zip Code 47906

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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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