Active NPIIndividual provider

Mrs. Kaitlyn F Brokaw, NP

Nurse Practitioner, Family in Fitchburg, Massachusetts

NPI Number1457792939
Practice location
326 Nichols RD, Fitchburg, MA 01420-1914
Fax
978-878-8537
Last updated
August 12, 2015

Kaitlyn Frances Brokaw is a Nurse Practitioner, Family based in Fitchburg, MA. Kaitlyn Frances Brokaw practices in Fitchburg, MA and has the professional credentials of NP. The NPI Number for Kaitlyn Frances Brokaw is 1457792939 and holds a License No. RN2292936 (MA). The current practice location address for Kaitlyn Frances Brokaw is 326 Nichols RD, Fitchburg, MA 01420-1914 and can be reached out via phone at 978-878-8100 and via fax at 978-878-8537.

Provider Profile Details

NPI Number
1457792939
Provider Name
Kaitlyn Frances Brokaw
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
326 Nichols RD, Fitchburg, MA 01420-1914
Phone Number
978-878-8100
Fax Number
978-878-8537
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Other Names
Kaitlyn Frances Mccoy, MSN, FNP-BC (Other Name)
Provider Enumeration Date
July 11, 2013
Last Update Date
August 12, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
326 Nichols RD
Fitchburg, MA 01420-1914
Zip
01420-1914
Phone Number
978-878-8100
Fax Number
978-878-8537
Fitchburg, MA 01420Get directions →

Provider Business Mailing Address Details

Address
326 Nichols RD
Fitchburg, MA 01420
City
Fitchburg
State
MA
Zip
01420
Phone Number
978-878-8100
Fax Number
978-878-8537

License Information

License Number (1)
RN2292936
License State (1)
MA
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
RN2292936
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · Primary
License Number (3)
RN634919
License State (3)
PA
Taxonomy (3)
Registered Nurse · 163W00000X
License Number (4)
26NR16441600
License State (4)
NJ
Taxonomy (4)
Registered Nurse · 163W00000X
License Number (5)
L10042610
License State (5)
DE
Taxonomy (5)
Registered Nurse · 163W00000X
License Number (6)
069276-21
License State (6)
NH
Taxonomy (6)
Registered Nurse · 163W00000X
License Number (7)
069276-23
License State (7)
NH
Taxonomy (7)
Nurse Practitioner, Family · 363LF0000X

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 Mrs. Kaitlyn F Brokaw, NP?

The NPI number of Mrs. Kaitlyn F Brokaw, NP is 1457792939. It was assigned on July 11, 2013 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kaitlyn F Brokaw, NP?

Mrs. Kaitlyn F Brokaw, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN2292936.

Where does Mrs. Kaitlyn F Brokaw, NP practice?

The practice location is 326 Nichols RD, Fitchburg, MA 01420-1914. The office can be reached at 978-878-8100 (phone) or 978-878-8537 (fax).

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 1457792939 directly on the NPPES registry website.

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