IndividualActive
Michelle Broberg, MA
NPI 1619365533 · Technician · Lakewood, CO
Provider details
- NPI number
- 1619365533
- Entity type
- Individual
- Primary specialty
- TechnicianNursing Service Related Providers
- Credential
- MA
- Sex
- Female
- Sole proprietor
- Yes
- License
- B6J5Y9K5 (CO)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
12055 West 2nd Plaza
Lakewood, CO 80228
Phone: (303) 425-0300
Approximate (ZIP-level) locationGet directions
Mailing address
3805 W. 26th Ave
Denver, CO 80211
Registry dates
- Enumerated
- 2014-12-30
- Last updated
- 2014-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.