| Doctor Name: | MR. MILES MACGUFFIN BROOKES |
| NPI Number: | 1013161066 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PMH-NP |
| License Number: | AP081965 |
| Business Practice Address: | 67 Eustis Parkway Waterville, ME - 049015173 |
| Business Phone Number: | 2078732136 |
| Business Fax Number: | 2078724522 |
| Mailing Address: | 67 Eustis Parkway, WATERVILLE |
| State: | ME |
| Postal Code: | 049015173 |
| Phone Number: | 2078732136 |
| Fax Number: | 2078724522 |
| NPI Enumeration Date: | 11/04/2008 |
| NPI Last Update Date: | 11/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | AP081965 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |