Broekhuis, Nichole

Broekhuis, Nichole is an sole proprietor health care provider with primary practice located at 420 Cotton Gin Rd , Montgomery AL 36117-3557. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Broekhuis, Nichole can be contacted via phone (937) 901-2777.

Contact Information

Primary practice address
420 Cotton Gin Rd Montgomery AL 36117-3557
Phone: (937) 901-2777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 1-185641 Alabama
Nursing Service Providers / Registered Nurse 163W00000X RN.423570 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 1-185641 Alabama

Profile Details

NPI number 1649851734
LBN Legal business name Broekhuis, Nichole
Credentials RN, BSN, CRNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2021
Last updated Jan 9th, 2023 - about 2 years 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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