MICHELLE RENEE BROTHERTON LPN
NPI 1396071114
Licensed Practical Nurse in Syracuse, NY

Q: What is Michelle Brotherton's NPI number?

The NPI number for Michelle Brotherton is 1396071114. It was assigned to this individual provider in the NPPES registry on October 29, 2009.

Q: What is Michelle Brotherton's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since October 29, 2009

400 MONTICELLO DR N, SYRACUSE, NY 13205(315) 474-1169 Get Directions Write a Review

NPPES record last updated: October 29, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Michelle Renee Brotherton Lpn NPPES

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

MICHELLE RENEE BROTHERTON LPN (NPI 1396071114) is an individual licensed practical nurse in Syracuse, New York, licensed in New York (259865-1) and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1396071114

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMICHELLE RENEE BROTHERTONCredential: LPN

Location Address400 MONTICELLO DR NSyracuse, NY 13205-2351

Mailing Address400 Monticello Dr NSyracuse, NY 13205-2351 · (315) 474-1169

Phone(315) 474-1169

Sole ProprietorYes

Enumeration DateOctober 29, 2009

✔ NPI 1396071114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 259865-1

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

400 MONTICELLO DR N, Syracuse, NY 13205

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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 Michelle Brotherton's NPI number?

The NPI number for Michelle Brotherton is 1396071114. It was assigned to this individual provider in the NPPES registry on October 29, 2009.

Where is Michelle Brotherton located?

Michelle Brotherton practices at 400 Monticello Dr N, Syracuse, NY 13205. The listed phone number is (315) 474-1169.

What is Michelle Brotherton's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Michelle Brotherton was last updated on October 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.