Broad, Michele Racheal
Broad, Michele Racheal is an individual health care provider with primary practice located at 41529 Ivy St 200-A, Murrieta CA 92562-9457. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Broad, Michele Racheal can be contacted via phone (951) 304-3180.Contact Information
Primary practice address
41529 Ivy St 200-A
Murrieta CA 92562-9457
Phone: (951) 304-3180
Fax: (951) 304-2735
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 428809 | California |
Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 428809 | California |
Profile Details
NPI number | 1467449975 |
---|---|
LBN Legal business name | Broad, Michele Racheal |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 29th, 2005 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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