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NICOLE BRODERSON LLC
NPI 1932473741
Counselor - Mental Health in Santa Fe, NM

Active since February 27, 2012
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 Llc NPPES

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

NICOLE BRODERSON LLC (NPI 1932473741) is a healthcare organization registered as a mental health in Santa Fe, New Mexico and active in the NPI registry since February 2012. The organization lists Nicole R Broderson, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1932473741
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameNICOLE BRODERSON LLC
Location Address1421 LUISA ST, SUITE NSanta Fe, NM 87505-4073
Mailing Address1421 Luisa St, Suite NSanta Fe, NM 87505-4073 · (505) 428-0072 · Fax (888) 256-1158
Phone(505) 428-0072
Fax(888) 256-1158
Organization SubpartNo
Authorized OfficialNicole R BrodersonNurse Practitioner · (505) 428-0072
Enumeration DateFebruary 27, 2012
Last NPPES UpdateJuly 31, 2013
✔ NPI 1932473741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NM · MB2485490
1421 LUISA ST, Santa Fe, NM 87505
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

NICOLE BRODERSON RN, MSN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1421 LUISA ST, SUITE N
SANTA FE, NM 87505
Santa Fe County (505) 428-0072
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

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 LLC's NPI number?

The NPI number for Nicole Broderson LLC is 1932473741. It was assigned to this organization in the NPPES registry on February 27, 2012.

Where is Nicole Broderson LLC located?

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

What is Nicole Broderson LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Nicole Broderson LLC 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.