Individual provider · Type 1 NPI
Colleen Ruth Broderick, NP
Gerontology Nurse Practitioner · Safford, AZ
NPI number
1801852447
Active
Practice location
711 S 14th Ave, Ste B
Safford, AZ 85546-3337
Mailing address
8453 S Navajo Dr
Safford, AZ 85546-7753
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | RN000099282 (AZ) |
Gerontology Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1801852447
Colleen Ruth Broderick, NP's National Provider Identifier is 1801852447, issued on Apr 22, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Safford, AZ. The record was last updated on Nov 23, 2012.