Nicole Broderson LLC
NPI #1932473741 in Santa Fe, New Mexico
Provider Information
- NPI Number
- 1932473741
- Entity Type
- Organization
- Organization Name
- Nicole Broderson LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Feb 27, 2012
- 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
Authorized Official
- Name
- MISS NICOLE R BRODERSON, CNP
- Title
- NURSE PRACTITIONER
- Phone
- (505) 428-0072
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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