NPI 1295267235

Denease Broadus

Practitioner Case Management Agency Nampa, ID

Practice location

Address: 204 10th Ave S, Nampa, ID 83651-3832
Phone: (208) 466-2229
Fax: (208) 466-2667

Registered specialties (6)

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Case Manager/Care Coordinator

Other Service Providers Taxonomy 171M00000X

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Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Community Health Worker

Other Service Providers Taxonomy 172V00000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Peer Specialist

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1295267235
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Mar 2017
Record last updated: 3 Nov 2025

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.