Broderick, Nancy

Broderick, Nancy is an individual health care provider with primary practice located at 10240 Park Meadows Drive , Lone Tree CO 80124-5425. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Broderick, Nancy can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
10240 Park Meadows Drive Lone Tree CO 80124-5425
Phone: (303) 338-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 18715 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 991011 Colorado

Profile Details

NPI number 1851536007
LBN Legal business name Broderick, Nancy
Credentials MSN, FNP, CWOCN
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2008
Last updated Dec 14th, 2015 - about 9 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 1851536007 NPPES
Colorado Other 024216 KAISER COMMERCIAL NUMBER
Colorado MEDICAID 14283549 KAISER COMMERCIAL NUMBER

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