Individual provider · Type 1 NPI
Nicole Rae Broadwell, FNP-BC
Family Nurse Practitioner · Mountain View, CA
NPI number
1982567079
Active
Practice location
2495 Hospital Dr Ste 500
Mountain View, CA 94040-4157
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | NP95036877 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1982567079
Nicole Rae Broadwell, FNP-BC's National Provider Identifier is 1982567079, issued on Dec 4, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mountain View, CA. The record was last updated on Dec 4, 2025.