Individual
MR. SETH A BROOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CNP81406
ME
363LF0000X
Family Nurse Practitioner
Primary
CNP81406
ME
363LF0000X
Family Nurse Practitioner
R039768
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
416400099
—
ME
Enumeration date
08/31/2006
Last updated
03/11/2019
Update your record
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