NPI 1053280008

Brooklyn Leisge, CRNA

Practitioner Certified Registered Nurse Anesthetist Port Charlotte, FL

Practice location

Address: 2500 Harbor Blvd, Port Charlotte, FL 33952-5000
Phone: (941) 766-4125
Fax: (941) 766-4101
Mailing address: 10065 Bayou Grande Ave, Seminole, FL 33772-6002

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence APRN11045007 (FL)

Other Nurse Anesthetist, Certified Registered providers in Florida →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 4048184 (KY)

Registry record

NPI: 1053280008
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Oct 2025
Record last updated: 22 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.