Nicole Broderson Llc

LBN: Nicole Broderson Llc
Nicole Broderson Llc is an health care organization with primary practice located at 1421 Luisa St Suite N, Santa Fe NM 87505-4073. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Nicole Broderson Llc can be contacted via phone (505) 428-0072, or through Broderson, Nicole R via phone (505) 428-0072.

Contact Information

Primary practice address
1421 Luisa St Suite N Santa Fe NM 87505-4073
Phone: (505) 428-0072
Fax: (888) 256-1158
Website:
Map and Directions
Authorized official contact:
Name: Broderson, Nicole R Certified Nurse Practitioner (CNP)
Phone: (505) 428-0072

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MB2485490 New Mexico

Profile Details

NPI number 1932473741
LBN Legal business name Nicole Broderson Llc
DBA Doing business as
Authorized official Broderson, Nicole R Certified Nurse Practitioner (CNP)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2012
Last updated Jul 31st, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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