| Doctor Name: | CHRISTINE SOPHIA BRUBAKER |
| NPI Number: | 1194158774 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 1499 |
| Business Practice Address: | 880 E End Rd Homer, AK - 996037201 |
| Business Phone Number: | 9072262228 |
| Business Fax Number: | 2079892287 |
| Mailing Address: | 880 E End Rd, HOMER |
| State: | AK |
| Postal Code: | 996037201 |
| Phone Number: | 9072262228 |
| Fax Number: | |
| NPI Enumeration Date: | 08/19/2013 |
| NPI Last Update Date: | 01/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 1499 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |