NPI 1053288381 · live from the CMS NPI Registry
Becca Elizabeth Brooks
Nurse Practitioner in Malone, NY. National Provider Identifier 1053288381, active.
NPI record
| NPI | 1053288381 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 133 Park St, Malone, NY 12953 |
| Practice phone | 518-483-0705 |
| Mailing address | 111 Colchester Ave, Burlington, VT 05401 |
| Enumerated | October 21, 2025 |
| Last updated | August 19, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 721922 (NY) |
| Nurse Practitioner primary | 363L00000X | 358728 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.