Individual provider · Type 1 NPI
Jennifer Marie Broedel, RN
Case Management Registered Nurse · Fort Irwin, CA
NPI number
1467695684
Active
Practice location
8417A Remagen St
Fort Irwin, CA 92310-2437
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | R174279 (MD) |
| Case Management Registered Nurse Primary | 163WC0400X | 724630 (CA) |
Case Management Registered Nurse: Definition to come...
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About NPI 1467695684
Jennifer Marie Broedel, RN's National Provider Identifier is 1467695684, issued on Apr 17, 2009. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Fort Irwin, CA. The record was last updated on Apr 17, 2009.