Provider Demographics
NPI:1780483826
Name:KING, BROOKE ELIZABETH
Entity type:Individual
Prefix:MRS
First Name:BROOKE
Middle Name:ELIZABETH
Last Name:KING
Suffix:
Gender:
Credentials:
Other - Prefix:MS
Other - First Name:BROOKE
Other - Middle Name:ELIZABETH
Other - Last Name:LAWLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:84 GREAT EAST LN
Mailing Address - Street 2:
Mailing Address - City:SANBORNVILLE
Mailing Address - State:NH
Mailing Address - Zip Code:03872-4319
Mailing Address - Country:US
Mailing Address - Phone:603-617-9906
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF NEW HAMPSHIRE DEPARTMENT OF NURSING
Practice Address - Street 2:HEATH SCIENCE SIMULATION CENTER, 25 COLOVOS ROAD
Practice Address - City:DURHAM
Practice Address - State:NH
Practice Address - Zip Code:03824
Practice Address - Country:US
Practice Address - Phone:603-862-2271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program