Provider Demographics
NPI:1982704441
Name:BROOKER, NANCY IRENE (MS, APN)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:IRENE
Last Name:BROOKER
Suffix:
Gender:F
Credentials:MS, APN
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:IRENE
Other - Last Name:BROOKER-MUIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APN
Mailing Address - Street 1:1805 SHEA CENTER DR STE 450
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-2255
Mailing Address - Country:US
Mailing Address - Phone:720-493-9006
Mailing Address - Fax:
Practice Address - Street 1:9218 KIMMER DR STE 207
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-6733
Practice Address - Country:US
Practice Address - Phone:720-493-9006
Practice Address - Fax:720-242-7520
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4902363LA2200X
AZAP2194363LA2200X
COAPN.0004902-NP363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q53138Medicare UPIN