Broadley, Deborah Ann

Broadley, Deborah Ann is an individual health care provider with primary practice located at 30 Jordan Ln , Wethersfield CT 06109-1278. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Broadley, Deborah Ann can be contacted via phone (860) 263-0253.

Contact Information

Primary practice address
30 Jordan Ln Wethersfield CT 06109-1278
Phone: (860) 263-0253
Fax: (860) 263-0262
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 003754 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3754 Connecticut

Profile Details

NPI number 1558531996
LBN Legal business name Broadley, Deborah Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 29th, 2008
Last updated Dec 2nd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558531996 NPPES
Connecticut MEDICAID 008004412

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