Individual
COLLEEN BRODERIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8012 W WILD ROSE RD, DEER PARK, WA 99006-9753
(509) 220-8914
(509) 220-8914
Mailing address
8012 W WILD ROSE RD, DEER PARK, WA 99006-9753
(509) 220-8914
(509) 220-8914
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
717706
WA
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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