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NPI Profile for COLLEEN R BRODERICK in SAFFORD, AZ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner |
| NPI Number | 1801852447 |
|
| Status | Active | |
| Credentials | NP (Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 04/22/2006 | |
| Last updated | 11/23/2012 - About 14 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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COLLEEN R BRODERICK
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COLLEEN R BRODERICK, NP