Provider Demographics
NPI:1689489163
Name:SHAMBO, BROOKE ELIZABETH
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:ELIZABETH
Last Name:SHAMBO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 POPLAR HILL RD
Mailing Address - Street 2:
Mailing Address - City:WEST WHATELY
Mailing Address - State:MA
Mailing Address - Zip Code:01039-9602
Mailing Address - Country:US
Mailing Address - Phone:802-356-2312
Mailing Address - Fax:
Practice Address - Street 1:51 POPLAR HILL RD
Practice Address - Street 2:
Practice Address - City:WEST WHATELY
Practice Address - State:MA
Practice Address - Zip Code:01039-9602
Practice Address - Country:US
Practice Address - Phone:802-356-2312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula