Individual
MRS. MICHELE RACHEAL BROAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
24910 LAS BRISAS ROAD, STE 105, MURRIETA, CA 92562-4010
(951) 231-1385
(566) 345-3272
Mailing address
6136 KETTLE FIRE TRL, COLORADO SPRINGS, CO 80925-1351
(951) 533-6113
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
428809
CA
363LW0102X
Women's Health Nurse Practitioner
428809
CA
Other
Enumeration date
09/29/2005
Last updated
12/17/2025
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