Healthcare Provider Details

I. General information

NPI: 1881510006
Provider Name (Legal Business Name): BROOKE LINDSEY BILLADO RN, MSN, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

775 HUNTER RD
JOHNSON VT
05656-9392
US

IV. Provider business mailing address

775 HUNTER RD
JOHNSON VT
05656-9392
US

V. Phone/Fax

Practice location:
  • Phone: 802-793-4319
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number101.0139557
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: