| Doctor Name: | MR. TERRY K BROOKS |
| NPI Number: | 1013257740 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP-C |
| License Number: | 26NO10663300 |
| Business Practice Address: | 402 Lawrence Dr Lanoka Harbor, NJ - 087342514 |
| Business Phone Number: | 7326840506 |
| Business Fax Number: | |
| Mailing Address: | 402 Lawrence Dr, LANOKA HARBOR |
| State: | NJ |
| Postal Code: | 087342514 |
| Phone Number: | 7326840506 |
| Fax Number: | |
| NPI Enumeration Date: | 02/16/2013 |
| NPI Last Update Date: | 05/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0200X |
| License Number: | 26NO10663300 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Critical Care Medicine |
| Taxonomy Definition: | |