Justin M Broadbent in Folsom - Nurse Practitioner

Justin M Broadbent - NPI 1609975317

Justin M Broadbent is a Nurse Practitioner in Folsom, California. Justin M Broadbent practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Justin M Broadbent is 1609975317. The last update date is 2007-07-08.

Justin M Broadbent's current location address is 489 Higgins St, Folsom, California. You can contact this provider via phone number 9169859670. The mailing address for Justin M Broadbent is 489 Higgins St, Folsom, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Justin M Broadbent
Address 489 Higgins St, Folsom, California
Phone Number 9169859670
Fax Number
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1609975317
Provider Enumeration Date 2006-09-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 489 Higgins St
City Folsom
State California (CA)
Post Code 956309564
Phone Number 9169859670
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No NP15480
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
RN404646 CA --

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FAQs about Justin M Broadbent

What is the unique 10-digit identifier code assigned to Justin M Broadbent by the Centers for Medicare & Medicaid Services?

The Justin M Broadbent has been issued the NPI (National Provider Identifier) 1609975317 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Justin M Broadbent is physically located?

The Justin M Broadbent is situated at the following address: 489 Higgins St, Folsom, CA 956309564.

What is Justin M Broadbent's specialized field of practice, and what is the corresponding taxonomy classification code?

The Justin M Broadbent's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.

When was the Justin M Broadbent's 1609975317 issued?

The Justin M Broadbent's 1609975317 was issued on 2006-09-21.

As of what date was the information regarding Justin M Broadbent, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Justin M Broadbent, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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