DANIELLE N BRODERSEN NP NPI 1407250830

NPI Information

NPI: 1407250830
Provider Name: DANIELLE N BRODERSEN, NP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
1111 6TH AVE
DES MOINES, IA
ZIP 50314
Phone: (515) 247-4240
Get Directions

Danielle N Brodersen, NP is an acute care nurse practitioner in Des Moines, IA with 10 years of experience. Danielle N Brodersen, NP NPI is 1407250830. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1111 6TH AVE
DES MOINES, IA
ZIP 50314-613
Phone: (515) 247-4240
Fax: (515) 247-4239

The NPI 1407250830 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/14/2014 and was last updated on 11/16/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LC0200X	Nurse Practitioner	Critical Care Medicine	L117212	IOWA	No
2	363LA2100X	Nurse Practitioner	Acute Care	L117212	IOWA	Yes
3	363L00000X	Nurse Practitioner		L117212	IOWA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1407250830	MEDICAID	IOWA
2	P01395628	OTHER	IOWA	RR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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