Broderick, Vicky L

Broderick, Vicky L is an individual health care provider with primary practice located at 1550 N 115Th St , Seattle WA 98133-8401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Broderick, Vicky L can be contacted via phone (206) 520-5000.

Contact Information

Primary practice address
1550 N 115Th St Seattle WA 98133-8401
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X AP30003054 Washington

Profile Details

NPI number 1497880934
LBN Legal business name Broderick, Vicky L
Credentials CNNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Sep 14th, 2020 - about 4 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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