Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
KAREN BRODERICK
Active
Individual
KAREN BRODERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
293139
NY
164W00000X
Licensed Practical Nurse
5180145
FL
Other
Enumeration date
04/17/2008
Last updated
07/26/2011
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