MR. SETH A BROOKER (NPI# 1093826661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093826661 |
| Entity Type | Individual |
| Full Name | MR. SETH A BROOKER |
| Credential | NP |
| Practice Address |
25a June St Ste 11 Sanford ME 04073 |
| Mailing Address |
1 Medical Center Dr Biddeford ME 04005-9422 |
| Practice Telephone | 2074907900 |
| Mailing Telephone | 2076258126 |
| Mailing Fax Number | 2076257820 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | CNP81406 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP81406 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R039768 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 416400099 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 70 Main St, Porter, ME 040683527 | 2076258126 | 2076257820 |
| Street Address |
25A JUNE ST STE 11 |
| City | SANFORD |
| State | ME |
| Zip Code | 04073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265821607 | Kristen Marie Waitt Mcdonough | Nurse Practitioner | 25a June St Ste 11, Sanford, ME 04073-2642 | 2015-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326551888 | Casey Hope Lapierre | Chiropractor | 21 Daigle Lane, Sanford, ME 04073 | 2017-11-07 |
| 1619404860 | Matthew Jason Holt | Counselor | 469 Main Street, Suite 201, Sanford, ME 04073 | 2017-05-18 |
| 1023556776 | Grace Street Services, LLC | Substance Abuse Rehabilitation Facility | 69 Eagle Drive, Sanford, ME 04073 | 2017-02-02 |
| 1730639311 | Kathleen Ann Coward | Denturist | 1200 Main Street, Sanford, ME 04073 | 2016-10-07 |
| 1437522174 | We Care Home Care | Home Health | 38 Brook St Apt A, Sanford, ME 04073 | 2015-11-03 |
| 1619231602 | Paul E. Beaudoin | Dentist | 2 Stilson Street, Sanford, ME 04073 | 2012-06-25 |
| 1730332685 | York County Community Action Corps | Case Management | 35 Island Ave., Sanford, ME 04073 | 2008-10-23 |
| 1205031788 | Douglas W. Rainforth | Specialist | Goodall Occupational Health Clinic, 13july St., Sanford, ME 04073 | 2007-06-15 |
| 1275742645 | Janet S Steffens | Speech-Language Pathologist | Center for Communication, 1280 Main Street, Sanford, ME 04073 | 2007-05-22 |
| 1003033358 | Lauren M Torch | Social Worker | 890 Main Street, Suite 118 Lower Midtown Mall, Sanford, ME 04073 | 2007-04-19 |
| Find all providers in zip 04073 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902404437 | Travita M Ramdin | Nurse Practitioner | 4800 Solara Cir Apt 4061, Sanford, FL 32771-0032 | 2020-10-16 |
| 1073135091 | Emma Markey Oteri | Nurse Practitioner | 5305 Bristol Cone Way, Sanford, FL 32771-8083 | 2020-05-13 |
| 1962046672 | Kamaljit Kaur | Nurse Practitioner | 129 Bella Rosa Cir, Sanford, FL 32771-5238 | 2019-11-05 |
| 1821657966 | Genevieve Gabriele D'amato | Nurse Practitioner | 522 Lake Eagle Ln, Sanford, FL 32773-4345 | 2019-06-12 |
| 1871053280 | Gregory Scott | Nurse Practitioner | 2017 Elizabeth Ct, Sanford, FL 32771-4513 | 2019-03-21 |
| 1881132249 | Tracy Shibla | Nurse Practitioner | 2320 Retreat View Cir, Sanford, FL 32771 | 2017-02-06 |
| 1710347851 | Melissa T Ramsawak | Nurse Practitioner | 4930 East Lake Mary Boulevard, Sanford, FL 32771 | 2016-03-02 |
| 1821457854 | Mary Theresia Bosman | Nurse Practitioner | 1180 W Nielson Rd, Sanford, MI 48657-9604 | 2016-02-18 |
| 1891041794 | Sandra Benscoter Reddecliff | Nurse Practitioner | 488 Still Forest Ter, Sanford, FL 32771-8382 | 2012-07-28 |
| 1225302326 | Nanette Climans | Nurse Practitioner | 106 Sophia Marie Cv, Sanford, FL 32771-7719 | 2012-03-07 |
| Find all providers in SANFORD | ||||
Please comment or provide details below to improve the information on MR. SETH A BROOKER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.