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NPI Code Detail

MEDICARE: BROOKE-LYN MILLBURY RN

MEDICARE:   BROOKE-LYN  MILLBURY  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN85581ME

General Provider Information

NPI Number : 1548110927
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKE-LYN MILLBURY RN
Provider Business Mailing Address
First Line : 751 HOLLEY RD
Second Line :
City : FARMINGTON
State : ME
Zip : 04938-5246
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 111 FRANKLIN HEALTH CMNS
Second Line :
City : FARMINGTON
State : ME
Zip : 04938-6144
Country : US
Telephone Number : 207-779-2250
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2026
Last Update Date : 02/03/2026

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Directions to “ BROOKE-LYN MILLBURY RN” Practice Location

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