Nicole Rae Brodosky, RN is a
Registered Nurse - Medical-surgical based in Stillwater, Pennsylvania. Nicole Rae Brodosky is licensed to practice in Pennsylvania (license number RN774701) and her current practice location is
1360 Old Tioga Tpke # A, Stillwater, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(570) 690-8954.
NPI number for Nicole Rae Brodosky is 1801751086 and her current mailing address is 1360 Old Tioga Tpke # A, Stillwater, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1801751086.
Provider's Profile
| Full Name | Nicole Rae Brodosky |
|---|
| Gender | Female |
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| Speciality | Registered Nurse - Medical-surgical |
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| Location | 1360 Old Tioga Tpke # A, Stillwater, Pennsylvania |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1801751086
- Provider Enumeration Date: 12/18/2025
- Last Update Date: 12/18/2025
Medical Identifiers
Medical identifiers for Nicole Rae Brodosky such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1801751086 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163WM0705X | Registered Nurse - Medical-surgical | RN774701 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Rae Brodosky is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Nicole Rae Brodosky, RN 1360 Old Tioga Tpke # A, Stillwater, PA 17878-9202 Ph: (570) 690-8954 | Nicole Rae Brodosky, RN 1360 Old Tioga Tpke # A, Stillwater, PA 17878-9202 Ph: (570) 690-8954 |
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