MRS. MICHELE RACHEAL BROAD NP NPI 1467449975

NPI Information

NPI: 1467449975
Provider Name: MRS. MICHELE RACHEAL BROAD, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
41529 IVY ST
200-A
MURRIETA, CA
ZIP 92562
Phone: (951) 304-3180
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MRS. Michele Racheal Broad, NP is an adult health nurse practitioner in Murrieta, CA. MRS. Michele Racheal Broad, NP NPI is 1467449975. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

41529 IVY ST
200-A
MURRIETA, CA
ZIP 92562-457
Phone: (951) 304-3180
Fax: (951) 304-2735

The NPI 1467449975 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/29/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	428809	CALIFORNIA	Yes
2	363LW0102X	Nurse Practitioner	Women's Health	428809	CALIFORNIA	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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