Jaime E Broesicke in Allentown - Nurse Practitioner
Jaime E Broesicke - NPI 1093745929
Jaime E Broesicke is a Nurse Practitioner in Allentown, Pennsylvania. Jaime E Broesicke practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jaime E Broesicke is 1093745929. The last update date is 2015-12-17.
Jaime E Broesicke's current location address is 1250 S Cedar Crest Blvd, Allentown, Pennsylvania. You can contact this provider via phone number 6104026555 and fax number 6104026550. The mailing address for Jaime E Broesicke is 1250 S Cedar Crest Blvd, Allentown, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jaime E Broesicke |
|---|---|
| Address | 1250 S Cedar Crest Blvd, Allentown, Pennsylvania |
| Phone Number | 6104026555 |
| Fax Number | 6104026550 |
| Sole Proprietor | N |
| Credentials | CRNP |
NPI Number Detail
| NPI Number | 1093745929 |
|---|---|
| Provider Enumeration Date | 2006-07-04 |
| Last Updated Date | 2015-12-17 |
Provider Mailing Address Detail
| Address | 1250 S Cedar Crest Blvd |
|---|---|
| City | Allentown |
| State | Pennsylvania (PA) |
| Post Code | 1810362240 |
| Phone Number | 6104026555 |
| Fax Number | 6104026550 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | SP007070 |
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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 |
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What is the unique 10-digit identification code assigned to Jaime E Broesicke by the Centers for Medicare & Medicaid Services?
The Jaime E Broesicke has been issued the NPI (National Provider Identifier) 1093745929, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jaime E Broesicke is physically located?
The Jaime E Broesicke is physically situated at the following address: 1250 S Cedar Crest Blvd, Allentown, PA, 1810362240.
What is the Jaime E Broesicke's area of specialization and corresponding taxonomy classification?
The Jaime E Broesicke's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1093745929 to Jaime E Broesicke?
The Jaime E Broesicke received its 1093745929 assignment from the Centers for Medicare & Medicaid Services on 2006-07-04.
As of what date were the Jaime E Broesicke's details last updated?
The information pertaining to the Jaime E Broesicke, including its address, specialty, and other details, was most recently updated on 2015-12-17.
NPI Number: 1215930425
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