Individual
RACHELLE PATRICE BROOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4947 N HARBOR ISLES DR, FORT LAUDERDALE, FL 33312-5918
(516) 242-4505
Mailing address
4947 N HARBOR ISLES DR, FORT LAUDERDALE, FL 33312-5918
(516) 242-4505
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
9431961
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11002521
FL
Other
Enumeration date
02/20/2023
Last updated
10/25/2023
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