Individual provider · NPI-1

Erin E Broene, NP

Nurse Practitioner, Pediatrics · Grand Rapids, MI

NPI number1134496342
StatusActive
Last updated in NPPESMay 8, 2025

Details

NPI
1134496342
Entity type
Individual (NPI-1)
Name
Erin E Broene
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Nov 17, 2011
Certification date
May 8, 2025
Last updated
May 8, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics4704248989MIYes

Other names

  • Erin E Mulligan (Former Name)

Practice location

35 Michigan St Ne Fl 2
Grand Rapids, MI 49503-2514

Phone 616-267-1924 · Fax 616-267-1005

Mailing address

100 Michigan St Ne
Mc 845
Grand Rapids, MI 49503-2560

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner, Pediatrics providers in Grand Rapids, MI