Mrs. Nicholette Brosseau
Mrs. Nicholette Brosseau is a Physician Assistant in Wagoner, Oklahoma. Qualified in 2020, 6 years ago. Practices with Creek Nation Hospital and Clinics, a 390-clinician group, works from 2 locations and accepts Medicare assignment.
- Years since qualifying
- 6
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
1520 SW 1st StWagoner, OK 74467-4839
Phone: (918) 704-7825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 5130 S Hudson Pl, Tulsa, OK 74135-7509 — (918) 704-7825
Specialties & licences
| Urgent Care Clinic/Center (primary) | Taxonomy 261QU0200X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1720639263 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 25, 2019 |
| Last updated in NPPES | November 9, 2020 |
| Certification date | November 9, 2020 |
| Mailing address | 5130 S Hudson Pl, Tulsa, OK 74135-7509 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Creek Nation Hospital And Clinics — 390 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Wagoner
-
MS. Lisette Caveny, CM-A
109 S Harrill Ave, Wagoner, OK 74467-5317 · (918) 485-3554
-
Brea Davis
72548 S 322 Way Lot 31, Wagoner, OK 74467-7050 · (918) 816-9277