Individual
AMBER BRODERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8700 S KYRENE RD, TEMPE, AZ 85284-2108
(480) 625-5959
Mailing address
8700 S KYRENE RD, TEMPE, AZ 85284-2108
(480) 625-5959
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP049729
AZ
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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