Mrs Brooke Logsdon Revels, FNP-C is a
Urology based in Port Saint Lucie, Florida. Mrs Brooke Logsdon Revels is licensed to practice in Florida (license number APRN11033176) and her current practice location is
555 Nw Lake Whitney Pl Ste 103, Port Saint Lucie, Florida. She can be reached at her office (for appointments etc.) via phone at
(772) 468-0042.
NPI number for Mrs Brooke Logsdon Revels is 1437907870 and her current mailing address is 555 Nw Lake Whitney Pl Ste 103, Port Saint Lucie, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437907870.
Provider's Profile
Full Name | Mrs Brooke Logsdon Revels |
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Gender | Female |
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Speciality | Urology |
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Location | 555 Nw Lake Whitney Pl Ste 103, Port Saint Lucie, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1437907870
- Provider Enumeration Date: 05/09/2024
- Last Update Date: 08/03/2025
Medical Identifiers
Medical identifiers for Mrs Brooke Logsdon Revels such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437907870 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | APRN11033176 (Florida) | Secondary |
363LW0102X | Nurse Practitioner - Women's Health | APRN11033176 (Florida) | Secondary |
208800000X | Urology | APRN11033176 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Brooke Logsdon Revels is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Brooke Logsdon Revels, FNP-C 555 Nw Lake Whitney Pl Ste 103, Port Saint Lucie, FL 34986-1623 Ph: (772) 468-0042 | Mrs Brooke Logsdon Revels, FNP-C 555 Nw Lake Whitney Pl Ste 103, Port Saint Lucie, FL 34986-1623 Ph: (772) 468-0042 |
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