Nicole Broderson, RN, MSN, PMHNP-BC
NPI 1124308689 · Psychiatric/Mental Health Nurse Practitioner · Santa Fe, NM
Nicole Broderson, RN, MSN, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner provider in Santa Fe, NM (NPI 1124308689).
Provider details
- NPI number
- 1124308689
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN, MSN, PMHNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- CNP-01815 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-08-27
- Last updated
- 2013-07-31
Frequently asked questions
- What is Nicole Broderson's NPI number?
- Nicole Broderson's National Provider Identifier (NPI) is 1124308689, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Broderson's specialty?
- Nicole Broderson is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Nicole Broderson located?
- Nicole Broderson's practice location on file with NPPES is 1421 Luisa St, Santa Fe, NM 87505-4073.
- What is Nicole Broderson's phone number?
- The practice phone number listed in the NPPES registry for Nicole Broderson is (505) 428-0072.
- Is Nicole Broderson's NPI active?
- Yes — Nicole Broderson's NPI (1124308689) is active in the NPPES registry as of the last update on 2013-07-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.