Individual
NANCY BRODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP, CWOCN
Contact information
Practice address
10240 PARK MEADOWS DRIVE, LONE TREE, CO 80124-5425
(303) 338-4545
Mailing address
10240 PARK MEADOWS DRIVE, LONE TREE, CO 80124-5425
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
18715
CA
363LF0000X
Family Nurse Practitioner
Primary
991011
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024216
KAISER COMMERCIAL NUMBER
CO
05
—
14283549
—
CO
Enumeration date
12/02/2008
Last updated
12/14/2015
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