Carla Marie Broderick APRN

NPI 1033115878 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1033115878
Gender Female
Enumeration Date 06/27/2005
Last Updated 03/31/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
LOUISVILLE KY, 40206-2093, US
Phone (502) 426-9680
Fax (502) 426-8272
Business Location
LOUISVILLE KY, 40212-1033, US
Phone (502) 774-8631
Fax (502) 776-8912
Taxonomy Code 363LA2200X
License State Kentucky
License Number 3002744
Remove 1033115878 NPI Number

According to our database, Carla Marie Broderick APRN NPI is 1033115878, taxonomy code is 363LA2200X and license number is 3002744, license state is located at Kentucky. Carla Marie Broderick APRN physically located at 2301 River Rd, Louisville KY, 40206-2093. NPI Number Carla Marie Broderick APRN has the Individual type.

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1033115878 NPI number is provided on an as is basis without warranty of any kind. 1033115878 is maintained by the National Plan & Provider Enumeration System. The contents of Carla Marie Broderick APRN are for informational purposes only.