Broderson, Nicole

Broderson, Nicole is an sole proprietor health care provider with primary practice located at 1421 Luisa St Suite N, Santa Fe NM 87505-4073. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Broderson, Nicole can be contacted via phone (505) 428-0072.

Contact Information

Primary practice address
1421 Luisa St Suite N Santa Fe NM 87505-4073
Phone: (505) 428-0072
Fax: (888) 256-1158
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X CNP-01815 New Mexico

Profile Details

NPI number 1124308689
LBN Legal business name Broderson, Nicole
Credentials RN, MSN, PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 27th, 2011
Last updated Jul 31st, 2013 - about 11 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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