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Contact Information

ANNE C BRODERSON, APRN, FNP-C
75-5699 KOPIKO ST UNIT 5
KAILUA-KONA, HI96740-3651
 Phone: 808-215-6574
 Fax: 808-758-0043
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for ANNE C BRODERSON · (Female)

NPI Number 1992269534
Status Active
Credentials APRN, FNP-C
Entity Individual
Enumeration date 01/28/2019
Last updated 11/30/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • HI License # APRN-2600
  • HI License # RN-63490
  • HI Medicaid 830689
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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