Individual
ELISABETH BRODERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
707 BROADWAY BLVD NE, SUITE #500, ALBUQUERQUE, NM 87102-2360
(505) 268-0701
Mailing address
707 BROADWAY BLVD NE, SUITE #500, ALBUQUERQUE, NM 87102-2360
(505) 268-0701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 81107
NM
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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