JULIE KATHERINE BROADWAY-SPINNER


Address: 916 Pacific St Apt 3, Brooklyn, NY 11238-3190
Phone: 3474209191

JULIE KATHERINE BROADWAY-SPINNER (NPI# 1205448958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205448958
Entity Type Individual
Full Name JULIE KATHERINE BROADWAY-SPINNER
Other Name KATHERINE BROADWAY
Credential PMHNP, RN-BC
Practice Address 916 Pacific St Apt 3
Brooklyn
NY 11238-3190
Practice Telephone 3474209191
Mailing Telephone 3474209191
Enumeration Date 2020-08-22
Last Update Date 2020-09-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
403214 NY Physician Assistants & Advanced Practice Nursing Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
674182 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 916 PACIFIC ST APT 3
City BROOKLYN
State NY
Zip Code 11238-3190

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City BROOKLYN
Zip Code 11238

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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