Individual provider · Type 1 NPI

Colleen Broderius

Registered Nurse · Deer Park, WA

NPI number 1992642763 Active

Practice location

8012 W Wild Rose Rd
Deer Park, WA 99006-9753

Fax (509) 220-8914

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	717706 (WA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1992642763

Colleen Broderius's National Provider Identifier is 1992642763, issued on Apr 30, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Deer Park, WA. The record was last updated on Apr 30, 2026.