Broderick, Sherill Alethia

Broderick, Sherill Alethia is an individual health care provider with primary practice located at 3650 Lilly Brook Dr , Loganville GA 30052-3391. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Broderick, Sherill Alethia can be contacted via phone (201) 580-0480.

Contact Information

Primary practice address
3650 Lilly Brook Dr Loganville GA 30052-3391
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2023190695 Georgia

Profile Details

NPI number 1699526723
LBN Legal business name Broderick, Sherill Alethia
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2024
Last updated Mar 28th, 2024 - about 6 months 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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