NPI 1053144105

Samuel Patrick Broe, RN

Practitioner Registered Nurse Brockton, MA

Practice location

Address: 940 Belmont St, Brockton, MA 02301-5596
Phone: (508) 583-4500
Mailing address: 39 Granite St, Norwood, MA 02062-3542

Registered specialties

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence 10009914 (MA)

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Registry record

NPI: 1053144105
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Aug 2024
Record last updated: 23 Aug 2024

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.