Individual provider · NPI-1
Leasia Brooks
Home Health Aide · Phoenix, AZ
NPI number1336874064
StatusActive
Last updated in NPPESJan 29, 2026
Details
- NPI
- 1336874064
- Entity type
- Individual (NPI-1)
- Name
- Leasia Brooks
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 18, 2022
- Certification date
- Jan 29, 2026
- Last updated
- Jan 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
11411 N 19th AvePhoenix, AZ 85029-3642
Phone 603-879-4998
Mailing address
11411 N 19th AvePhoenix, AZ 85029-3642
Phone 602-879-4998
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