Individual
AMY BRODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5381 S GREEN ST, MURRAY, UT 84123-4661
(435) 817-2541
Mailing address
3489 ROBBIN CT, SANTA CLARA, UT 84765-5306
(435) 817-2541
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
9641739-3102
UT
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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