Phoebe Grace Carlock

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Acton, ME

NPI 1962299412 · NPPES record last updated Apr 21, 2025

Key facts

NPI
1962299412
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
2568 Route 109
Acton, ME 04001-5839
Phone
(207) 604-3197
NPI assigned
Apr 21, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

2568 Route 109
Acton, ME 04001-5839

Mailing address

2568 Route 109
Acton, ME 04001-5839
Phone (207) 604-3197

Other names

  • Phoebe Grace Joy Former name

Other providers in Acton, ME

All providers in Acton, ME · Student in an Organized Health Care Education/Training Program in Maine

Sources for this page

Verify at the official NPI Registry.