Abigail Kirstie Brohammer
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Edwardsville, IL
NPI 1649896374 · NPPES record last updated Jun 18, 2020
Key facts
- NPI
- 1649896374
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- Siue School of Nursing Alumni Hall Room 2117
Edwardsville, IL 62026-0001 - Phone
- (618) 650-3956
- NPI assigned
- Jun 18, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
Siue School of Nursing Alumni Hall Room 2117
Edwardsville, IL 62026-0001
Mailing address
Alumni Hall Room 2117 Campus Box 1066
Edwardsville, IL 62026-0001
Phone (618) 650-3956
Other providers in Edwardsville, IL
- Bravo Care of Edwardsville Inc
- Elizabeth Marie Bray
- Harvey Breckner
- Carl David Brickman
- Rebecca Bristow
- Abbey Brooks
- Caleb Brown
- Miah Brown
- Montana Sky Brown
- Nathan Brown
All providers in Edwardsville, IL · Student in an Organized Health Care Education/Training Program in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.