Individual provider · Type 1 NPI

Luisa Broden

Student in an Organized Health Care Education/Training Program · Moscow, ID

NPI number 1003434283 Active

Practice location

902 N Almon St Apt 3
Moscow, ID 83843-8544

Call (509) 675-3813 Map

Mailing address

615 E 9th Ave
Colville, WA 99114-9463

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003434283

Luisa Broden's National Provider Identifier is 1003434283, issued on Jul 14, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Moscow, ID. The record was last updated on Jul 14, 2020.