NPI 1376126250 · live from the CMS NPI Registry
Dusty Lynn Broxterman, DPM
Podiatrist in Grand Island, NE. National Provider Identifier 1376126250, active.
NPI record
| NPI | 1376126250 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 620 N Diers Ave Ste 100, Grand Island, NE 68803 |
| Practice phone | 308-381-0404 |
| Mailing address | Po Box 5020, Grand Island, NE 68802 |
| Enumerated | April 29, 2021 |
| Last updated | July 2, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 398 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.