Individual provider · Type 1 NPI

Samantha Broomfield

Student in an Organized Health Care Education/Training Program · Glendale, WI

NPI number 1891684437 Active

Practice location

5555 N Port Washington Rd Ste 300
Glendale, WI 53217-4928

Call (414) 962-6764 Map

Mailing address

4832 N Cumberland Blvd
Milwaukee, WI 53217-6026

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 1891684437

Samantha Broomfield's National Provider Identifier is 1891684437, issued on Jun 30, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Glendale, WI. The record was last updated on Jun 30, 2025.