NPI 1003434283

Luisa Broden

Practitioner Student in an Organized Health Care Education/Training Program Moscow, ID

Practice location

Address: 902 N Almon St APT 3, Moscow, ID 83843-8544
Phone: (509) 675-3813
Mailing address: 615 E 9th Ave, Colville, WA 99114-9463

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Idaho →

Registry record

NPI: 1003434283
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jul 2020
Record last updated: 14 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.