Individual
HEATHER MARIE BROM
Active
Individual
HEATHER MARIE BROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.09032NP
OH
363LF0000X
Family Nurse Practitioner
COA.09032-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3107499
—
OH
Enumeration date
03/31/2007
Last updated
04/26/2012
Update your record
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