NPI 1134496342 · live from the CMS NPI Registry
Erin E Broene, NP
Nurse Practitioner, Pediatrics in Grand Rapids, MI. National Provider Identifier 1134496342, active.
NPI record
| NPI | 1134496342 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 35 Michigan St Ne Fl 2, Grand Rapids, MI 49503 |
| Practice phone | 616-267-1924 |
| Mailing address | 100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503 |
| Enumerated | November 17, 2011 |
| Last updated | May 8, 2025 |
| Sole proprietor | No |
| Other names | Erin Mulligan |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 4704248989 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.