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NPI Code Detail

MEDICARE: DENISE MICHELLE BROOMHALL ARNP

MEDICARE:   DENISE MICHELLE BROOMHALL  ARNP
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
1363L00000XNurse PractitionerAP124253TX

General Provider Information

NPI Number : 1376795542
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE MICHELLE BROOMHALL ARNP
Provider Business Mailing Address
First Line : PO BOX 844658
Second Line :
City : DALLAS
State : TX
Zip : 75284-4658
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10815 RANCH ROAD 2222 BLDG 3A
Second Line :
City : AUSTIN
State : TX
Zip : 78730-1159
Country : US
Telephone Number : 512-327-4262
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2008
Last Update Date : 12/03/2021

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Directions to “ DENISE MICHELLE BROOMHALL ARNP” Practice Location

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