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NICOLE BRODERSON RN, MSN, PMHNP-BC
NPI 1124308689
Nurse Practitioner - Psychiatric/Mental Health in Santa Fe, NM

Active since August 27, 2011
1421 LUISA ST, SUITE N, SANTA FE, NM 87505(505) 428-0072(888) 256-1158 Get Directions Write a Review

NPPES record last updated: July 31, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Broderson Rn, Msn, Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE BRODERSON RN, MSN, PMHNP-BC (NPI 1124308689) is an individual psychiatric/mental health provider in Santa Fe, New Mexico, licensed in New Mexico (CNP-01815) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1124308689
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNICOLE BRODERSONCredential: RN, MSN, PMHNP-BC
Location Address1421 LUISA ST, SUITE NSanta Fe, NM 87505-4073
Mailing AddressPo Box 23901Santa Fe, NM 87502-3901 · (505) 428-0072 · Fax (888) 256-1158
Phone(505) 428-0072
Fax(888) 256-1158
Sole ProprietorYes
Enumeration DateAugust 27, 2011
Last NPPES UpdateJuly 31, 2013
✔ NPI 1124308689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NM · CNP-01815
1421 LUISA ST, Santa Fe, NM 87505
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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL HEALEY
Massage Therapist
1421 LUISA ST, SUITE B
SANTA FE, NM 87505
Santa Fe County (505) 919-9542
DR. PATRICK JOSEPH OKEEFE DC
Chiropractor
1421 LUISA ST, SUITE A
SANTA FE, NM 87505
Santa Fe County (505) 983-4225
JOHN S CASKEY MD
Internal Medicine
1421 LUISA ST, UNIT I
SANTA FE, NM 87505
Santa Fe County (505) 982-8338
DR. FRANCES E. LOVETT BS, PHARMD, PHC
Pharmacist (Pharmacotherapy)
1421 LUISA ST
SANTA FE, NM 87505
Santa Fe County (505) 795-7953
MS. ROBYN ELIZABETH HOLLEY CFNP
Nurse Practitioner
1421 LUISA ST, SUITE I
SANTA FE, NM 87505
Santa Fe County (505) 982-8338
INESSA MIL'BERG MA, LPCC
Counselor (Mental Health)
1421 LUISA ST
SANTA FE, NM 87505
Santa Fe County (505) 465-9360
LOIS MARY PURVIS PA LMT
Physician Assistant
1421 LUISA ST, SUITE D
SANTA FE, NM 87505
Santa Fe County (505) 820-1482
ELIZABETH MULHALL CNP
Nurse Practitioner (Family)
1421 LUISA ST, SUITE I
SANTA FE, NM 87505
Santa Fe County (505) 982-8338

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Broderson's NPI number?

The NPI number for Nicole Broderson is 1124308689. It was assigned to this individual provider in the NPPES registry on August 27, 2011.

Where is Nicole Broderson located?

Nicole Broderson practices at 1421 Luisa St Suite N, Santa Fe, NM 87505. The listed phone number is (505) 428-0072.

What is Nicole Broderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Nicole Broderson was last updated on July 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.