Brodeur, Nicole L

Brodeur, Nicole L is an individual health care provider with primary practice located at 865 Junction Dr , Allen TX 75013-5006. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Brodeur, Nicole L can be contacted via phone (214) 547-8300.

Contact Information

Primary practice address
865 Junction Dr Allen TX 75013-5006
Phone: (214) 547-8300
Fax: (214) 547-9787
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 699527 Texas

Profile Details

NPI number 1649456047
LBN Legal business name Brodeur, Nicole L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2008
Last updated Jul 2nd, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649456047 NPPES
Texas MEDICAID 193397001
Texas MEDICAID 193397002
Texas MEDICAID 193397003

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