Individual
MS. TRISHA BRODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5360 N ACADEMY BLVD STE 290, COLORADO SPRINGS, CO 80918-4038
(719) 434-2061
Mailing address
916 E FOUNTAIN BLVD, COLORADO SPRINGS, CO 80903-4607
(719) 960-9216
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0332323
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1BGTSP9
—
CO
Enumeration date
09/24/2025
Last updated
10/09/2025
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