| Doctor Name: | MS. ROBERTA J BROOKS |
| NPI Number: | 1003876087 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 1500312 |
| Business Practice Address: | 2127 E Harmony Rd Suite 140 Fort Collins, CO - 805283405 |
| Business Phone Number: | 9702976250 |
| Business Fax Number: | 9702976260 |
| Mailing Address: | 3055 Sanford Cir, Suite 150 LOVELAND |
| State: | CO |
| Postal Code: | 805384925 |
| Phone Number: | 9706244420 |
| Fax Number: | 9706244459 |
| NPI Enumeration Date: | 03/24/2006 |
| NPI Last Update Date: | 03/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 1500312 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |