Individual provider · Type 1 NPI
Rebecca Broderick, ACNPC-AG, BSN, RN
Nurse Practitioner · Lacey, WA
Practice location
677 Woodland Square Loop SE Ste D7
Lacey, WA 98503-1000
Mailing address
18824 Mountain Point Dr
Eagle River, AK 99577-8555
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 61413663-NP (WA) |
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 1629755657
Rebecca Broderick, ACNPC-AG, BSN, RN's National Provider Identifier is 1629755657, issued on Jun 30, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lacey, WA. The record was last updated on Jun 30, 2023.