Brom, Heather Marie

Brom, Heather Marie is an individual health care provider with primary practice located at 300 W 10Th Ave , Columbus OH 43210-1280. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Brom, Heather Marie can be contacted via phone (614) 366-3776.

Contact Information

Primary practice address
300 W 10Th Ave Columbus OH 43210-1280
Phone: (614) 366-3776
Fax: (614) 293-6420
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA.09032-NP Ohio
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X COA.09032NP Ohio

Profile Details

NPI number 1952421976
LBN Legal business name Brom, Heather Marie
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2007
Last updated Apr 26th, 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 1952421976 NPPES
Ohio MEDICAID 3107499

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