Provider Demographics
NPI:1568620979
Name:MILROY, JOAN (PMHNP)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:
Last Name:MILROY
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 EDGE ST
Mailing Address - Street 2:
Mailing Address - City:IPSWICH
Mailing Address - State:MA
Mailing Address - Zip Code:01938-1109
Mailing Address - Country:US
Mailing Address - Phone:978-314-9806
Mailing Address - Fax:
Practice Address - Street 1:150A ANDOVER ST STE 11A
Practice Address - Street 2:
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-5316
Practice Address - Country:US
Practice Address - Phone:978-206-8200
Practice Address - Fax:351-212-3276
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-02
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA176736363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health