Individual provider · Type 1 NPI

Teresa Ladean Broeker, BSN-RN

School Registered Nurse · Clovis, NM

NPI number 1760104335 Active

Practice location

1600 Sutter Pl
Clovis, NM 88101-4611

Fax (575) 769-4430

Mailing address

PO Box 19000
Clovis, NM 88102-9000

Specialties and licenses

TaxonomyCodeLicense
School Registered Nurse Primary 163WS0200XR39862 (TX)

School Registered Nurse: Definition to come...

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About NPI 1760104335

Teresa Ladean Broeker, BSN-RN's National Provider Identifier is 1760104335, issued on Sep 12, 2022. The primary taxonomy on file is School Registered Nurse (163WS0200X), and the practice location is in Clovis, NM. The record was last updated on Sep 12, 2022.