Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAN MICHAEL BROAD, NP-C
Active Sole ProprietorFamily Nurse Practitioner · SUPERIOR, WI
Registration Details
- NPI Number
- 1275835597
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 18, 2010 (15.423468046941 yrs)
- Last Updated
- Nov 18, 2010
- License
-
R134618-7 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6 SANDPIPER PLSUPERIOR, WI, 548805390Browse WI providers · Browse ZIP 54880
- Phone
- 7153929192
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in SUPERIOR, WI
| Name | Credential | NPI |
|---|---|---|
| MRS. CAROLYN IRENE ROE | N. P. | 1609850866 |
| VICKI BRADY | APRN | 1801872080 |
| KAREN WYSE NIEDERMIER | APRN, CNP | 1821058421 |
| MARTHA PIERPONT | — | 1851337588 |
| OLGA MIKHAYLOVNA TER-GRIGORYAN | — | 1700896420 |
| JOSIE DICESARE | CFNP | 1609985589 |
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.