Individual
MR. CHRISTOPHER MATTHEW BRODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
726 WICK AVE, YOUNGSTOWN, OH 44505-2827
(330) 747-9551
(330) 747-2740
Mailing address
726 WICK AVE, YOUNGSTOWN, OH 44505-2827
(330) 747-9551
(330) 759-3149
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12853-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0057396
—
OH
Enumeration date
11/23/2011
Last updated
09/05/2025
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