Broderick, Colleen Ruth
Broderick, Colleen Ruth is an sole proprietor health care provider with primary practice located at 711 S 14Th Ave Ste B, Safford AZ 85546-3337. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Broderick, Colleen Ruth can be contacted via phone (480) 318-5584.Contact Information
Primary practice address
711 S 14Th Ave Ste B
Safford AZ 85546-3337
Phone: (480) 318-5584
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | RN000099282 | Arizona |
Profile Details
| NPI number | 1801852447 |
|---|---|
| LBN Legal business name | Broderick, Colleen Ruth |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 22nd, 2006 |
| Last updated | Nov 23rd, 2012 - about 13 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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