Broderick, Mary Siobhan
Broderick, Mary Siobhan is an individual health care provider with primary practice located at 164 Washington Ave , Batavia NY 14020-2113. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Diabetes Educator. Nursing Service Providers / Diabetes Educator is her primary health care specialty. Broderick, Mary Siobhan can be contacted via phone (585) 344-5331.Contact Information
Primary practice address
164 Washington Ave
Batavia NY 14020-2113
Phone: (585) 344-5331
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 749791 | New York |
Nursing Service Providers / Diabetes Educator | 163WD0400X | 749791 | New York |
Profile Details
NPI number | 1720749229 |
---|---|
LBN Legal business name | Broderick, Mary Siobhan |
Credentials | RN, CDCES |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 6th, 2022 |
Last updated | Oct 10th, 2023 - about last year |
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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