Individual
CARLA MARIE BRODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2215 PORTLAND AVE, LOUISVILLE, KY 40212
(502) 774-8631
(502) 996-8309
Mailing address
PO BOX 950244, LOUISVILLE, KY 40295-0244
(502) 953-4700
(502) 776-8912
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3002744
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000200893
ANTHEM
KY
05
—
78009859
—
KY
Enumeration date
06/27/2005
Last updated
01/25/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us