MRS. MICHELE RACHEAL BROAD NP NPI 1467449975

NPI Information

  • NPI: 1467449975
  • Provider Name: MRS. MICHELE RACHEAL BROAD, NP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 24910 LAS BRISAS ROAD
    STE 105
    MURRIETA, CA
    ZIP 92562
  • Phone: (951) 231-1385

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NPI Details

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:

24910 LAS BRISAS ROAD
STE 105
MURRIETA, CA
ZIP 92562-010
Phone: (951) 231-1385
Fax: (566) 345-3272

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 12/17/2025.

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
1363LA2200XNurse PractitionerAdult Health428809CALIFORNIAYes
2363LW0102XNurse PractitionerWomen's Health428809CALIFORNIANo

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

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