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NPI Code Detail

MEDICARE: RACHEL BROERING NP

MEDICARE:   RACHEL  BROERING  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner3002259KY
2363L00000XNurse Practitioner3002259KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2NP259POTHERKYCHOICE CARE
3000000045393OTHERKYANTHEM

General Provider Information

NPI Number : 1346249760
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL BROERING NP
Provider Business Mailing Address
First Line : PO BOX 635283
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-5283
Country : US
Telephone Number : 859-344-5555
Fax Number : 859-344-5552
Provider Business Practice Location Address
First Line : 460 UNIVERSITY DRIVE
Second Line : NKU NUNN DRIVE - UNIVERSITY CENTER
City : HIGHLAND HEIGHTS
State : KY
Zip : 41099-0001
Country : US
Telephone Number : 859-578-5660
Fax Number : 859-441-0454
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 10/04/2023

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Directions to “ RACHEL BROERING NP” Practice Location

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