Most Relevant Information
Provider Data
| NPI Number: | 1003439415 |
| Provider Name: | NICOLE BROOMFIELD |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/20/2020 |
| Last Updated: | 05/20/2020 |
Provider Practice Location
2347 VINE ST
CINCINNATI
OH
452191745
Practice Location Phone/Fax
| Phone: | 5136211117 |
| Fax: |
Provider Mailing Location
2347 VINE ST
CINCINNATI
OH
452191745
Provider Mailing Phone/Fax
| Phone: | 5136211117 |
| Fax: |