Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE BRODERSON, RN, MSN, PMHNP-BC
Active Sole ProprietorNICOLE BRODERSON, RN, MSN, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in SANTA FE, New Mexico. NPI 1124308689 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · SANTA FE, NM
Registration Details
- NPI Number
- 1124308689
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 27, 2011 (14.932037825244 yrs)
- Last Updated
- Jul 31, 2013
- License
-
CNP-01815 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1421 LUISA STSUITE NSANTA FE, NM, 875054073Browse NM providers · Browse ZIP 87505
- Phone
- 5054280072
- Fax
- 8882561158
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Other Psychiatric/Mental Health Nurse Practitioner Providers in SANTA FE, NM
| Name | Credential | NPI |
|---|---|---|
| DR. ROY ADDINGTON | PMHNP DNP | 1760489926 |
| MRS. BARBARA A. GILMORE | APRN, NP | 1891710083 |
| CYNTHIA T GREYWOLF | DNP-PMHNP,BC | 1619996592 |
| MR. EDWARD RAY LOBAUGH | CNP, CNS, APRN BC | 1588686158 |
| MS. SHARI HUGHES SCOTT | PMHNP-BC, LMFT, LPC | 1043306590 |
| MS. KRISTIN E KENYON | CNP | 1417124033 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.