JAN MICHAEL BROAD NP-C
NPI 1275835597
Nurse Practitioner - Family in Superior, WI

Active since November 18, 2010
6 SANDPIPER PL, SUPERIOR, WI 54880(715) 392-9192 Get Directions Write a Review

NPPES record last updated: November 18, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Nurse Practitioner
  • Family

About JAN BROAD

This page provides the complete NPI Profile along with additional information for Jan Broad, a provider established in Superior, Wisconsin with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1275835597 assigned on November 2010. The practitioner's primary taxonomy code is 363LF0000X with license number R134618-7 (MN). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1275835597 Verify this NPI
Provider Name
JAN MICHAEL BROAD NP-C
Gender
Male
Entity Type
Individual
Location Address
6 SANDPIPER PL SUPERIOR, WI 54880
Location Phone
(715) 392-9192
Mailing Address
6 SANDPIPER PL SUPERIOR, WI 54880
Mailing Phone
(715) 392-9192
Is Sole Proprietor?
Yes
Enumeration Date
11-18-2010
Last Update Date
11-18-2010
Code Navigator

A nurse practitioner (NP) like Jan Broad is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
R134618-7
License State
MN

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Family)
6 SANDPIPER PL
SUPERIOR, WI 54880

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275835597, enumerated as an "individual" on November 18, 2010.

The provider is located at 6 SANDPIPER PL SUPERIOR, WI 54880 and the phone number is (715) 392-9192.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.