Individual provider · Type 1 NPI
Jaime E. Broesicke, CRNP
Family Nurse Practitioner · Allentown, PA
NPI number
1093745929
Active
Practice location
1250 S Cedar Crest Blvd, Ste 400
Allentown, PA 18103-6224
Fax (610) 402-6550
Mailing address
PO Box 783311
Philadelphia, PA 19178-3311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | SP007070 (PA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1093745929
Jaime E. Broesicke, CRNP's National Provider Identifier is 1093745929, issued on Jul 4, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Allentown, PA. The record was last updated on Feb 13, 2025.