Individual
MS. COLLEEN RUTH BRODERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
711 S 14TH AVE, STE B, SAFFORD, AZ 85546-3337
(480) 318-5584
Mailing address
8453 S NAVAJO DR, SAFFORD, AZ 85546-7753
(928) 792-7842
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN000099282
AZ
Other
Enumeration date
04/22/2006
Last updated
11/23/2012
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