Individual
TABATHA BRODERICK HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2 OLD NEW MILFORD RD, SUITE 3D, BROOKFIELD, CT 06804
(203) 885-0910
Mailing address
111 TOWN SQUARE PL, JERSEY CITY, NJ 07310-1755
(813) 336-7328
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12343
CT
Other
Enumeration date
08/02/2023
Last updated
07/16/2026
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