Nichole Broekhuis, RN, BSN, CRNP
Nurse Practitioner, Pediatrics in Dayton, OH. Individual provider (NPI-1).
NPI number1649851734
StatusActive
Last updated in NPPESApr 6, 2026
Details
- NPI
- 1649851734
- Entity type
- Individual (NPI-1)
- Name
- Nichole Broekhuis
- Credential
- RN, BSN, CRNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 20, 2021
- Certification date
- Apr 6, 2026
- Last updated
- Apr 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | ApRN.CNP0036317 | OH | Yes |
| 163W00000X | Registered Nurse | 1-185641 | AL | |
| 163W00000X | Registered Nurse | RN.423570 | OH | |
| 363LP0200X | Nurse Practitioner, Pediatrics | 1-185641 | AL |
Practice location
721 Miami Chapel RdDayton, OH 45417-4650
Phone 937-281-6800
Mailing address
721 Miami Chapel RdDayton, OH 45417-4650
Phone 937-901-2777
Other practice locations
700 Childrens Dr
Columbus, OH 43205-2664
Columbus, OH 43205-2664
Phone 937-901-2777
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