Individual provider · Type 1 NPI
Traci L. Broidrick, CRNP
Family Nurse Practitioner · Allentown, PA
NPI number
1154624732
Active
Practice location
1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Fax (610) 402-1698
Mailing address
PO Box 783311
Philadelphia, PA 19178-3311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | SP011049 (PA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1154624732
Traci L. Broidrick, CRNP's National Provider Identifier is 1154624732, issued on Dec 21, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Allentown, PA. The record was last updated on May 19, 2016.