NICOLE BRODERSON LLC is a mental health counselor in Santa Fe, NM. NICOLE BRODERSON LLC NPI is 1932473741. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1421 LUISA ST SUITE N SANTA FE, NM ZIP 87505-073 Phone: (505) 428-0072 Fax: (888) 256-1158
The provider's authorized official is Nicole R Broderson . The authorized official title is Nurse Practitioner and has the following contact phone number (505) 428-0072.
The enumeration date for this NPI number is 2/27/2012 and was last updated on 7/31/2013.
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:
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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