Individual
KATHLEEN BROGLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 MEDICAL CENTER DR, PALLIATIVE MEDICINE, LEBANON, NH 03756-1000
(603) 650-5402
Mailing address
1 MEDICAL CENTER DR, PALLIATIVE MEDICINE, LEBANON, NH 03756-1000
(603) 650-5402
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
072656-23
NH
363LA2200X
Adult Health Nurse Practitioner
F304539
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A0235315
HMSA BILLING NUMBER
HI
05
—
54746601
—
HI
Enumeration date
10/19/2006
Last updated
07/28/2016
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