Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Mary Jane Broge, PNP

Individual provider Pediatric Nurse Practitioner · NPI 1295066769

Mrs. Mary Jane Broge, PNP is a Pediatric Nurse Practitioner in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2010.

Licensed in
MO
In the registry since
2010
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

See every abbreviation used in this directory →

Practice location Address checks out

1 Childrens Pl Div Ped Cardiology
Saint Louis, MO 63110-1002
Phone: (314) 454-6095
Fax: (314) 884-6008
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 2004033032 (MO)

Record details

NPI number1295066769
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP
Sole proprietorNo
NPI enumeratedJanuary 23, 2010
Last updated in NPPESFebruary 9, 2026

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