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

Mutahannah Broomes

Individual provider Licensed Practical Nurse · NPI 1417710245

Mutahannah Broomes is a Licensed Practical Nurse in Brick, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2024

Practice location Address checks out

293 Birch Bark Dr
Brick, NJ 08723-5901
Phone: (732) 604-6762
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 26NP07018600 (NJ)

Record details

NPI number1417710245
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 5, 2024
Last updated in NPPESFebruary 5, 2024
Certification dateFebruary 4, 2024
Mailing addressPo Box 4368, Brick, NJ 08723-1568

Other providers in Brick