Broden, Nicole

Broden, Nicole is an individual health care provider with primary practice located at 20710 Keokuk Ave , Lakeville MN 55044-6620. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Broden, Nicole can be contacted via phone (612) 354-5931.

Contact Information

Primary practice address
20710 Keokuk Ave Lakeville MN 55044-6620
Phone: (612) 354-5931
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3996 Minnesota

Profile Details

NPI number 1891356606
LBN Legal business name Broden, Nicole
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2019
Last updated Jan 13th, 2026 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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