Individual
MS. JANE FRANCES HINES BRODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1801 16TH ST, GREELEY, CO 80631-5154
(970) 810-4121
Mailing address
1519 BUTTONWOOD DR, FORT COLLINS, CO 80525-1917
(970) 901-8104
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.0173620
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
94-257-0836
STATE OF COLORADO
CO
Enumeration date
09/08/2018
Last updated
09/08/2018
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