Individual provider · Type 1 NPI

Kathleen Pearl Broderick, RN

Registered Nurse · Auburn, NY

NPI number 1104929454 Active

Practice location

146 North Street
Auburn, NY 13021-3461

Fax (315) 253-1129

Mailing address

PO Box 512
Red Creek, NY 13143-0232

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X490767-1 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1104929454

Kathleen Pearl Broderick, RN's National Provider Identifier is 1104929454, issued on Sep 5, 2006. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Auburn, NY. The record was last updated on Jan 13, 2014.