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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. NICHOLETTE BROSSEAU

Active Sole Proprietor

MRS. NICHOLETTE BROSSEAU is a Urgent Care Center healthcare provider located in WAGONER, Oklahoma. NPI 1720639263 is currently active in the NPPES registry. Verify at CMS.

Urgent Care Center · WAGONER, OK

Registration Details

NPI Number
1720639263
Provider Type
Individual
Gender
Female
NPI Issued
Sep 25, 2019 (6.9100026644676 yrs)
Last Updated
Nov 9, 2020
Sole Proprietor
Yes

Practice Information

Address
1520 SW 1ST ST
WAGONER, OK, 744674839
Browse OK providers · Browse ZIP 74467
Phone
9187047825
Primary Specialty
Urgent Care Center
261QU0200X
Additional Specialty
Urgent Care Center
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.