Individual provider · Type 1 NPI
Kristy Rose Broderick, FNP-BC
Family Nurse Practitioner · San Diego, CA
NPI number
1487801817
Active
Practice location
200 W Arbor Dr Dept 8220
San Diego, CA 92103-8220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 200441107RN (OR) |
| Family Nurse Practitioner Primary | 363LF0000X | 19601 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1487801817
Kristy Rose Broderick, FNP-BC's National Provider Identifier is 1487801817, issued on Aug 27, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Diego, CA. The record was last updated on Sep 10, 2019.