| Doctor Name: | NICHOLAS FRANKLIN BROOKINS |
| NPI Number: | 1215283098 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP |
| License Number: | 810312 |
| Business Practice Address: | 1060 Gaffney Rd Stop 7410 U.s. Army Meddac Ak Ft Wainwright, AK - 997035007 |
| Business Phone Number: | 9073615603 |
| Business Fax Number: | 9073614847 |
| Mailing Address: | 1060 Gaffney Rd Stop 7410, U.s. Army Meddac Ak FT WAINWRIGHT |
| State: | AK |
| Postal Code: | 997035007 |
| Phone Number: | 9073615603 |
| Fax Number: | 9073614847 |
| NPI Enumeration Date: | 07/30/2012 |
| NPI Last Update Date: | 07/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 810312 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |