MRS. NICHOLETTE BROSSEAU


Address: 1520 Sw 1st St, Wagoner, OK 74467-4839
Phone: 9187047825

MRS. NICHOLETTE BROSSEAU (NPI# 1720639263) 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) 1720639263
Entity Type Individual
Full Name MRS. NICHOLETTE BROSSEAU
Practice Address 1520 Sw 1st St
Wagoner
OK 74467-4839
Mailing Address 5130 S Hudson Pl
Tulsa
OK 74135-7509
Practice Telephone 9187047825
Mailing Telephone 9187047825
Enumeration Date 2019-09-25
Last Update Date 2020-11-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QU0200X Clinic/Center
Specialization: Urgent Care
Ambulatory Health Care Facilities
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
5130 S Hudson Pl, Tulsa, OK 741357509 9187047825

Office Location

Street Address 1520 SW 1ST ST
City WAGONER
State OK
Zip Code 74467-4839

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982251591 Alesha Lenard Behavior Technician 901 S. Harrill Ave, Wagoner, OK 74467 2019-08-20
1679030597 Lorri Dawn Pitchford Case Manager/Care Coordinator Creoks Behavioral Health Services, 109 S Harrill Ave., Wagoner, OK 74467 2019-02-27
1144769399 Elaina Murray Technician 308 Ne 2nd St., Wagoner, OK 74467 2017-02-21
1336699784 Tommye Evidson Counselor 109 Harrill Ave, Wagoner, OK 74467 2016-10-10
1518327857 Yco Tulsa, Inc Clinic/Center 1101a South Mcquarrie, Wagoner, OK 74467 2016-02-29
1396117545 Sandra Cooper Behavioral Analyst 2109 Us-69, Wagoner, OK 74467 2015-10-28
1588051486 Penny Nye Counselor 2109 S.hwy 69, Wagoner, OK 74467 2015-04-20
1376943571 Justin F Kurtz Respiratory Therapist, Certified 1200 W. Cherokee, Suite H Cardiac/pulmonary Rehab, Wagoner, OK 74467 2014-08-26
1780009969 David H Good Family Medicine 1202 W. Cherokee St, Ste E, Wagoner, OK 74467 2014-02-25
1942598875 Robin Rodriguez-higginbottom Speech-Language Pathologist 215 E Cherokee St, Wagoner, OK 74467 2011-07-12
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Taxonomy Information

Taxonomy Code 261QU0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Urgent Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871120022 Urgent Care of Muskogee Pllc Clinic/Center 1317 S Dewey Ave, Wagoner, OK 74467-7013 2020-03-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902426737 Creekside Urgent Care LLC Clinic/Center 1101 Nw 178th St Ste B, Edmond, OK 73012-4281 2020-04-22
1629604434 Medwise LLC Clinic/Center 11495 S. State Highway 51, Coweta, OK 74429 2020-03-13
1831722982 Sooner Urgent Care LLC Clinic/Center 2100 W Lindsey St Ste B, Norman, OK 73069-4108 2020-02-18
1548819477 Christi Lea Vick Clinic/Center 704 Azalea Hill Dr, Yukon, OK 73099-6504 2019-09-04
1447805544 Revive Medical Urgent Care LLC Clinic/Center 4215 N Classen Blvd Ste 100, Oklahoma City, OK 73118-2426 2019-08-06
1780239202 Immediate Care of Oklahoma, LLC Clinic/Center 10616 U.S. Highway 66, Suite 100, Oklahoma City, OK 73099 2019-08-02
1982161386 On Demand Urgent Care, LLC Clinic/Center 11426 N 134th E Ave, Owasso, OK 74055-5755 2019-02-22
1720554231 Gdn LLC Clinic/Center 1315 Chisholm Trail Pkwy, Duncan, OK 73533-1533 2018-10-23
1699262576 Immediate Care of Oklahoma, LLC Clinic/Center 4500 Tinker Rd, Oklahoma City, OK 73135-4614 2018-04-17
1992292999 Immediate Care of Oklahoma, LLC Clinic/Center 10551 Se 59th St, Oklahoma City, OK 73150-4302 2018-04-16
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Competitor

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City WAGONER
Zip Code 74467

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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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