Individual provider · Type 1 NPI

Kieron James Broderick, RN, ACNP

Nurse Practitioner · Centerville, IA

NPI number 1174879282 Active

Practice location

1208 E Cross St
Centerville, IA 52544-3501

Call (816) 477-7200 Map

Mailing address

3901 Spicewood Springs Rd Ste 201
Austin, TX 78759-8723

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X2012024476 (MO)
Nurse Practitioner Primary 363L00000XL166512 (IA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1174879282

Kieron James Broderick, RN, ACNP's National Provider Identifier is 1174879282, issued on Jul 25, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Centerville, IA. The record was last updated on Feb 18, 2022.