| Doctor Name: | MR. SETH A BROOKER |
| NPI Number: | 1093826661 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP |
| License Number: | R039768 |
| Business Practice Address: | 70 Main St Porter, ME - 040683527 |
| Business Phone Number: | 2076258126 |
| Business Fax Number: | 2076257820 |
| Mailing Address: | 70 Main St, PORTER |
| State: | ME |
| Postal Code: | 040683527 |
| Phone Number: | 2076258126 |
| Fax Number: | 2076257820 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 12/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R039768 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |