Active NPIIndividual providerSole proprietor

Keith Brodeur

Registered Nurse, Community Health in Holyoke, Massachusetts

NPI Number1053764290
Practice location
230 Maple St, Holyoke, MA 01040-5144
Fax
—
Last updated
July 22, 2016

Keith Brodeur is a Registered Nurse, Community Health based in Holyoke, MA. Keith Brodeur practices in Holyoke, MA. The NPI Number for Keith Brodeur is 1053764290 and holds a License No. RN2305966 (MA). The current practice location address for Keith Brodeur is 230 Maple St, Holyoke, MA 01040-5144 and can be reached out via phone at 413-420-2200.

Provider Profile Details

NPI Number
1053764290
Provider Name
Keith Brodeur
Provider Entity Type
Individual
Gender
Male
Address
230 Maple St, Holyoke, MA 01040-5144
Phone Number
413-420-2200
Primary Taxonomy
Registered Nurse, Community Health · 163WC1500X
Sole Proprietor
Yes
Provider Enumeration Date
July 22, 2016
Last Update Date
July 22, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
230 Maple St
Holyoke, MA 01040-5144
Zip
01040-5144
Phone Number
413-420-2200
Holyoke, MA 01040Get directions →

Provider Business Mailing Address Details

Address
230 Maple St
Holyoke, MA 01040-5144
City
Holyoke
State
MA
Zip
01040-5144
Phone Number
413-420-2200

License Information

License Number
RN2305966
License State
MA
Taxonomy
Registered Nurse, Community Health · 163WC1500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Keith Brodeur?

The NPI number of Keith Brodeur is 1053764290. It was assigned on July 22, 2016 and is currently active in the NPPES registry.

What is the specialty of Keith Brodeur?

Keith Brodeur is registered under the primary taxonomy Registered Nurse, Community Health (code 163WC1500X), licensed in MA under license number RN2305966.

Where does Keith Brodeur practice?

The practice location is 230 Maple St, Holyoke, MA 01040-5144. The office can be reached at 413-420-2200 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053764290 directly on the NPPES registry website.

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