Individual
SHAWNE S BRODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
5 WASHINGTON PL, BEDFORD, NH 03110-6736
(603) 695-2900
Mailing address
5 WASHINGTON PL, BEDFORD, NH 03110-6736
(603) 695-2900
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
051632-23
NH
367A00000X
Advanced Practice Midwife
239794
MA
Other
Enumeration date
08/08/2008
Last updated
01/08/2016
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