Provider Demographics
NPI:1194823948
Name:PHILBROOK, JOYCE E (RN-C)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:E
Last Name:PHILBROOK
Suffix:
Gender:F
Credentials:RN-C
Other - Prefix:
Other - First Name:JOYCE
Other - Middle Name:E
Other - Last Name:HALLSEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN-C
Mailing Address - Street 1:30 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:SKOWHEGAN
Mailing Address - State:ME
Mailing Address - Zip Code:04976-1828
Mailing Address - Country:US
Mailing Address - Phone:207-474-8368
Mailing Address - Fax:207-474-7794
Practice Address - Street 1:30 HIGH ST
Practice Address - Street 2:
Practice Address - City:SKOWHEGAN
Practice Address - State:ME
Practice Address - Zip Code:04976-1828
Practice Address - Country:US
Practice Address - Phone:207-474-8368
Practice Address - Fax:207-474-7794
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MER022017163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult