Individual provider · Type 1 NPI
Stephanie Lauren Broderick, CNM, WHNP-BC
Obstetrics & Gynecology Nurse Practitioner · Aurora, IL
NPI number
1629444823
Active
Practice location
1400 Indian Ave
Aurora, IL 60505-3137
Mailing address
400 N Highland Ave
Aurora, IL 60506-3814
Other practice locations
- 400 N Highland Ave, Aurora, IL 60506-3814 · (630) 892-4355
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | 209013055 (IL) |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
2 other providers at this address
Other obstetrics & gynecology nurse practitioner providers in Aurora
About NPI 1629444823
Stephanie Lauren Broderick, CNM, WHNP-BC's National Provider Identifier is 1629444823, issued on Aug 11, 2015. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Aurora, IL. The record was last updated on May 10, 2022.