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MUTAHANNAH BROOMES
NPI 1417710245
Licensed Practical Nurse in Brick, NJ

Active since February 05, 2024
293 BIRCH BARK DR, BRICK, NJ 08723(732) 604-6762 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mutahannah Broomes NPPES

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

MUTAHANNAH BROOMES (NPI 1417710245) is an individual licensed practical nurse in Brick, New Jersey, licensed in New Jersey (26NP07018600) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1417710245
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMUTAHANNAH BROOMES
Location Address293 BIRCH BARK DRBrick, NJ 08723-5901
Mailing AddressPo Box 4368Brick, NJ 08723-1568
Phone(732) 604-6762
Sole ProprietorYes
Enumeration DateFebruary 5, 2024
NPPES CertifiedFebruary 4, 2024
✔ NPI 1417710245 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 NJ · 26NP07018600
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.
293 BIRCH BARK DR, Brick, NJ 08723
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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 Mutahannah Broomes's NPI number?

The NPI number for Mutahannah Broomes is 1417710245. It was assigned to this individual provider in the NPPES registry on February 5, 2024.

Where is Mutahannah Broomes located?

Mutahannah Broomes practices at 293 Birch Bark Dr, Brick, NJ 08723. The listed phone number is (732) 604-6762.

What is Mutahannah Broomes'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 Mutahannah Broomes was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.