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Nicole Broderson, RN,MSN,PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Santa Fe, New Mexico
NPI 1124308689

Nicole Broderson is a Psychiatric/Mental Health Nurse Practitioner based in Santa Fe, NM and is specialized in Psychiatric/Mental Health. Nicole Broderson practices in Santa Fe, NM and has the professional credentials of RN,MSN,PMHNP-BC. The NPI Number for Nicole Broderson is 1124308689 and holds a License No. CNP-01815 (New Mexico).

The current practice location address for Nicole Broderson is 1421 Luisa St, Santa Fe, NM and can be reached out via phone at 505-428-0072 and via fax at 888-256-1158.

Location: 1421 Luisa St, Santa Fe, NM, 87502-3901
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Provider Profile Details
NPI Number
1124308689
Provider Name
Nicole Broderson
Credential
RN,MSN,PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1421 Luisa St, Santa Fe, NM, 87502-3901
Phone Number
505-428-0072
Fax Number
888-256-1158
Provider Enumeration Date
08/27/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1421 Luisa St
City
State
Zip
87505-4073
Phone Number
505-428-0072
Fax Number
888-256-1158
person
Provider Business Mailing Address Details
Address
1421 Luisa St
City
State
Zip
87505-4073
Phone Number
505-428-0072
Fax Number
888-256-1158
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
CNP-01815 (New Mexico)
Definition
Definition to come...
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