Individual
LAUREN ELISABETH BRODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
410 E BROADWAY APT 7K, LONG BEACH, NY 11561-4458
(516) 361-8768
Mailing address
410 E BROADWAY APT 7K, LONG BEACH, NY 11561-4458
(516) 361-8768
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
407709
NY
Other
Enumeration date
11/14/2023
Last updated
10/25/2025
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