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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: August 09, 2026.

About Jan Michael Broad Np-c NPPES

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

JAN MICHAEL BROAD NP-C (NPI 1275835597) is an individual family provider in Superior, Wisconsin, licensed in Minnesota (R134618-7) and active in the NPI registry since November 2010.

NPPES Registry Identity

NPI1275835597
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJAN MICHAEL BROADCredential: NP-C
Location Address6 SANDPIPER PLSuperior, WI 54880-5390
Mailing Address6 Sandpiper PlSuperior, WI 54880-5390 · (715) 392-9192
Phone(715) 392-9192
Sole ProprietorYes
Enumeration DateNovember 18, 2010
✔ NPI 1275835597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MN · R134618-7
6 SANDPIPER PL, Superior, WI 54880
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Other Providers at the Same Location NPPES

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

LESLIE S. L. BROAD NP
Nurse Practitioner (Family)
6 SANDPIPER PL
SUPERIOR, WI 54880
Douglas County (715) 817-8834

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 Jan Broad's NPI number?

The NPI number for Jan Broad is 1275835597. It was assigned to this individual provider in the NPPES registry on November 18, 2010.

Where is Jan Broad located?

Jan Broad practices at 6 Sandpiper Pl, Superior, WI 54880. The listed phone number is (715) 392-9192.

What is Jan Broad's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jan Broad was last updated on November 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.