NICHOLE BROEKHUIS RN BSN CRNP NPI 1649851734

NPI Information

NPI: 1649851734
Provider Name: NICHOLE BROEKHUIS, RN, BSN, CRNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
420 COTTON GIN RD
MONTGOMERY, AL
ZIP 36117
Phone: (937) 901-2777
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Nichole Broekhuis, RN, BSN, CRNP is a pediatrics nurse practitioner in Montgomery, AL. Nichole Broekhuis, RN, BSN, CRNP NPI is 1649851734. 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:

420 COTTON GIN RD
MONTGOMERY, AL
ZIP 36117-557
Phone: (937) 901-2777

The enumeration date for this NPI number is 4/20/2021 and was last updated on 1/9/2023.

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	163W00000X	Registered Nurse		1-185641	ALABAMA	No
2	163W00000X	Registered Nurse		RN.423570	OHIO	No
3	363LP0200X	Nurse Practitioner	Pediatrics	1-185641	ALABAMA	Yes

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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