DANIELLE N BRODERSEN


Address: 1111 6th Ave, Des Moines, IA 50314-2613
Phone: 5152474240

DANIELLE N BRODERSEN (NPI# 1407250830) 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) 1407250830
Entity Type Individual
Full Name DANIELLE N BRODERSEN
Credential NP
Practice Address 1111 6th Ave
Des Moines
IA 50314-2613
Mailing Address Po Box 1475
Des Moines
IA 50305-1475
Practice Telephone 5152474240
Practice Fax Number 5152474239
Mailing Telephone 5152474240
Mailing Fax Number 5152474239
Enumeration Date 2014-10-14
Last Update Date 2018-11-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
L117212 IA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IA RR MEDICARE P01395628 01
IA 1407250830 05

Office Location

Street Address 1111 6TH AVE
City DES MOINES
State IA
Zip Code 50314-2613

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790785004 Keven Odell Cutler Emergency Medicine 1111 6th Ave, Emergency Dept, Des Moines, IA 50314-2613 2005-07-28
1508470014 Tammie Jordan Pharmacist 1111 6th Ave, Des Moines, IA 50314-2613 2020-09-02
1942812243 Samantha Marie Ulsh Nurse Practitioner 1111 6th Ave, Des Moines, IA 50314-2613 2020-08-18
1962020677 Jordyn Hauser Dietitian, Registered 1111 6th Ave, Des Moines, IA 50314-2613 2020-07-09
1659996528 Doh Joon Park Internal Medicine 1111 6th Ave, Des Moines, IA 50314-2613 2020-06-16
1508481623 Maianh T Tran Surgery 1111 6th Ave, Des Moines, IA 50314-2613 2020-06-15
1083239081 Max E Reiche Family Medicine 1111 6th Ave, Des Moines, IA 50314-2613 2020-06-15
1760007488 Obidike P Nwadike Family Medicine 1111 6th Ave, Des Moines, IA 50314-2613 2020-06-09
1154945970 Jason C Wang Internal Medicine 1111 6th Ave, Des Moines, IA 50314-2613 2020-06-08
1588288435 Elliot M Deblieck Family Medicine 1111 6th Ave, Des Moines, IA 50314-2613 2020-06-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982266979 Dental Connections, Inc. Dentist 1111 9th Street, Suite 190, Des Moines, IA 50314 2019-07-01
1760910723 Kelsey Taylor Social Worker 1761 Hickman Rd, Des Moines, IA 50314 2017-06-02
1184085672 Allison J Robbins Counselor 1063 14th Place, Suite A, Des Moines, IA 50314 2016-03-11
1083081715 Taylor Witzel Specialist/Technologist 450 Laurel Street, Des Moines, IA 50314 2015-08-28
1376893933 Caring Hearts LLC In Home Supportive Care 1620 Pleasant, #245, Des Moines, IA 50314 2012-09-11
1104117522 Akinbode Solomon Egbelakin Pediatrics 1111 6th Ave # Main3, Des Moines, IA 50314 2011-04-20
1447488325 Abdelaziz Elhaddad Internal Medicine 95 University Avenue, Suite 1, Des Moines, IA 50314 2009-06-30
1356584080 Tara Michelle Graff Internal Medicine 411 Laurel Street Suite A300, Des Moines, IA 50314 2009-04-10
1700068517 Planned Parenthood of The Heartland Family Medicine 123 Clark Street, Des Moines, IA 50314 2007-12-04
1790903235 Christy J. Meyer Counselor 1063 14th Place, Suite A, Des Moines, IA 50314 2007-04-22
Find all providers in zip 50314

Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043872963 Andrea Marie Hughes Nurse Practitioner 1200 Pleasant St, Des Moines, IA 50309-1406 2019-07-01
1861901555 Jodi Lynne Wilson Nurse Practitioner 411 Laurel St Ste 2100, Des Moines, IA 50314-3026 2017-09-25
1629454293 Brianna Schimp Nurse Practitioner 411 Laurel Street, Suite A250, Des Moines, IA 50314-3029 2015-08-06
1669879045 Michele Yvonne Renze Nurse Practitioner 1201 Penn Ave, Des Moines, IA 50316-2339 2014-12-01
1902218324 Caleb Anderson Nurse Practitioner 411 Laurel St, Suite A250, Des Moines, IA 50314-3017 2014-05-21
1508289620 Gloria Miller Nurse Practitioner 1801 Hickman Rd, Des Moines, IA 50314-1505 2014-01-24
1114279197 Robbin Lynne Mann Nurse Practitioner 411 Laurel St, Suite 2380, Des Moines, IA 50314-3017 2012-10-15
1134402373 Julie A Schuck Nurse Practitioner 411 Laurel St, Suite 300a, Des Moines, IA 50314-3017 2011-09-23
1114210895 Robyn R Biehl Nurse Practitioner 700 E University Ave, Des Moines, IA 50316 2011-05-27
1912208703 Beth Ann Borden Nurse Practitioner 411 Laurel St Ste A120, Des Moines, IA 50314-3027 2010-11-09
Find all providers in DES MOINES

Competitor

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City DES MOINES
Zip Code 50314

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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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