Individual
NICHOLE BROEKHUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, CRNP
Contact information
Practice address
721 MIAMI CHAPEL RD, DAYTON, OH 45417-4650
(937) 281-6800
Mailing address
721 MIAMI CHAPEL RD, DAYTON, OH 45417-4650
(937) 901-2777
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-185641
AL
163W00000X
Registered Nurse
RN.423570
OH
363LP0200X
Pediatric Nurse Practitioner
1-185641
AL
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP0036317
OH
Other
Enumeration date
04/20/2021
Last updated
04/06/2026
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