Individual provider · Type 1 NPI
Nicole Broeckelmann
Family Nurse Practitioner · Houston, TX
NPI number
1407512411
Active
Practice location
6621 Fannin St
Houston, TX 77030-2358
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 879168 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1407512411
Nicole Broeckelmann's National Provider Identifier is 1407512411, issued on Nov 14, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Houston, TX. The record was last updated on Nov 14, 2021.