| Nicole Broderson Llc | |
|
1421 Luisa St Suite N Santa Fe NM 87505-4073 | |
| (505) 428-0072 | |
| (888) 256-1158 |
| Full Name | Nicole Broderson Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1421 Luisa St, Santa Fe, New Mexico |
| Authorized Official Name and Position | Nicole R Broderson (NURSE PRACTITIONER) |
| Authorized Official Contact | 5054280072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Broderson Llc 1421 Luisa St Suite N Santa Fe NM 87505-4073 Ph: (505) 428-0072 | Nicole Broderson Llc 1421 Luisa St Suite N Santa Fe NM 87505-4073 Ph: (505) 428-0072 |
| NPI Number | 1932473741 |
|---|---|
| Provider Enumeration Date | 02/27/2012 |
| Last Update Date | 07/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932473741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MB2485490 (New Mexico) | Primary |
Sangre De Cristo Community Health Partnership Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1441 S Saint Francis Dr, Santa Fe, NM 87505 Phone: 505-982-8870 Fax: 505-982-4480 | |
Youth Shelters Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5686 Agua Fria St, Santa Fe, NM 87507 Phone: 505-438-0502 Fax: 505-438-0504 | |
Carrie T. Ishee Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1519 Upper Canyon Rd, Santa Fe, NM 87501 Phone: 505-670-0686 | |
Vega Diagnostic & Consulting Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 29 Rito Guicu, Santa Fe, NM 87507 Phone: 505-235-4002 | |
Youth Shelters Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5686 Agua Fria St, Santa Fe, NM 87507 Phone: 505-983-0586 Fax: 505-424-0949 | |
Equest Counseling Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17661 Us 84/285, Santa Fe, NM 87506 Phone: 505-455-0555 Fax: 505-455-2237 | |
William Wengs, Md Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2009 Botulph Rd, Suite 500, Santa Fe, NM 87505 Phone: 505-986-2890 Fax: 505-986-2893 |