Mr Richard H Broach, APNP is a
Clinical Nurse Specialist - Psychiatric/mental Health, Adult based in Waukesha, Wisconsin. Mr Richard H Broach is licensed to practice in Wisconsin (license number 4270) and his current practice location is
309 E North St, Waukesha, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(414) 672-1353.
NPI number for Mr Richard H Broach is 1588605257 and his current mailing address is 309 E North St, Waukesha, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588605257.
Healthcare Provider's Profile
Full Name | Mr Richard H Broach |
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Gender | Male |
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Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Adult |
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Location | 309 E North St, Waukesha, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1588605257
- Provider Enumeration Date: 06/10/2006
- Last Update Date: 06/15/2016
Medical Identifiers
Medical identifiers for Mr Richard H Broach such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588605257 | NPI | - | NPPES |
40995000 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 3576125 (Wisconsin) | Secondary |
364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | 4270 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Richard H Broach is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Richard H Broach, APNP 309 E North St, Waukesha, WI 53188-3718 Ph: (414) 672-1353 | Mr Richard H Broach, APNP 309 E North St, Waukesha, WI 53188-3718 Ph: (414) 672-1353 |
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