MRS. NICOLE BROECKELMANN NPI 1407512411

NPI Information

  • NPI: 1407512411
  • Provider Name: MRS. NICOLE BROECKELMANN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 6621 FANNIN ST
    HOUSTON, TX
    ZIP 77030
  • Phone: (832) 824-1000

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NPI Details

MRS. Nicole Broeckelmann is a family nurse practitioner in Houston, TX. MRS. Nicole Broeckelmann NPI is 1407512411. 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:

6621 FANNIN ST
HOUSTON, TX
ZIP 77030-358
Phone: (832) 824-1000

The enumeration date for this NPI number is 11/14/2021 and was last updated on 11/14/2021.

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
1363LF0000XNurse PractitionerFamily879168TEXASYes

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: 11/21/2025

NPI Synchronization or Removal

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