Healthcare Provider Details

I. General information

NPI: 1861265944
Provider Name (Legal Business Name): REBECCA PHILBRICK FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2023
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 OAK RIDGE RD
WEST LEBANON NH
03784-3121
US

IV. Provider business mailing address

68 BRATTLEBORO RD
HINSDALE NH
03451
US

V. Phone/Fax

Practice location:
  • Phone: 603-448-1941
  • Fax: 603-448-6059
Mailing address:
  • Phone: 603-336-5948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number062319-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: