Mutahannah Broomes
Licensed Practical Nurse in Brick, New Jersey
1417710245- Practice location
- 293 Birch Bark Dr, Brick, NJ 08723-5901
- Phone
- 732-604-6762
- Fax
- —
- Last updated
- February 5, 2024
Mutahannah Broomes is a Licensed Practical Nurse based in Brick, NJ. Mutahannah Broomes practices in Brick, NJ. The NPI Number for Mutahannah Broomes is 1417710245 and holds a License No. 26NP07018600 (NJ). The current practice location address for Mutahannah Broomes is 293 Birch Bark Dr, Brick, NJ 08723-5901 and can be reached out via phone at 732-604-6762.
Provider Profile Details
- NPI Number
- 1417710245
- Provider Name
- Mutahannah Broomes
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 293 Birch Bark Dr, Brick, NJ 08723-5901
- Phone Number
- 732-604-6762
- Primary Taxonomy
- Licensed Practical Nurse · 164W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 5, 2024
- Last Update Date
- February 5, 2024
- Certification Date
- February 4, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 293 Birch Bark Dr
Brick, NJ 08723-5901 - City
- Brick
- State
- New Jersey
- Zip
- 08723-5901
- Phone Number
- 732-604-6762
Provider Business Mailing Address Details
- Address
- Po Box 4368
Brick, NJ 08723-1568 - City
- Brick
- State
- NJ
- Zip
- 08723-1568
License Information
- License Number
- 26NP07018600
- License State
- NJ
- Taxonomy
- Licensed Practical Nurse · 164W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mutahannah Broomes?
The NPI number of Mutahannah Broomes is 1417710245. It was assigned on February 5, 2024 and is currently active in the NPPES registry.
What is the specialty of Mutahannah Broomes?
Mutahannah Broomes is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in NJ under license number 26NP07018600.
Where does Mutahannah Broomes practice?
The practice location is 293 Birch Bark Dr, Brick, NJ 08723-5901. The office can be reached at 732-604-6762 (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 1417710245 directly on the NPPES registry website.