Provider Demographics
NPI:1568848455
Name:TALBOT, BROOKE (RN)
Entity Type:Individual
Prefix:MRS
First Name:BROOKE
Middle Name:
Last Name:TALBOT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 HENLOPEN CT
Mailing Address - Street 2:LEWES
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-1767
Mailing Address - Country:US
Mailing Address - Phone:302-344-6430
Mailing Address - Fax:
Practice Address - Street 1:15 HENLOPEN CT
Practice Address - Street 2:LEWES
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-1767
Practice Address - Country:US
Practice Address - Phone:302-344-6430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-03
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0047398163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse