Nicole Broderson, RN, MSN, PMHNP-BC
NPI #1124308689 in Santa Fe, New Mexico
Provider Information
- NPI Number
- 1124308689
- Entity Type
- Individual
- Name
- Nicole Broderson, RN, MSN, PMHNP-BC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- RN, MSN, PMHNP-BC
- Enumeration Date
- Aug 27, 2011
- Last Updated
- Jul 31, 2013
Practice Location
- Address
- 1421 LUISA ST
- Address 2
- SUITE N
- City
- Santa Fe
- State
- New Mexico
- ZIP Code
- 87505-4073
- Phone
- (505) 428-0072
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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