Kathleen Pearl Broderick RN

NPI 1104929454 - Registered Nurse - 163W00000X

NPI Details
NPI 1104929454
Gender Female
Enumeration Date 09/05/2006
Last Updated 01/13/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
146 NORTH STREET
AUBURN NY, 13021-3461, US
Phone (315) 253-0341
Fax (315) 253-1129
Business Location
PO BOX 512
RED CREEK NY, 13143-0232, US
Phone (315) 297-0844
Fax
Toxanomy
Taxonomy Code 163W00000X
License State New York
License Number 490767-1
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According to our database, Ms. Kathleen Pearl Broderick RN NPI is 1104929454, taxonomy code is 163W00000X and license number is 490767-1, license state is located at New York. Kathleen Pearl Broderick RN physically located at 146 North Street, Auburn NY, 13021-3461. NPI Number Kathleen Pearl Broderick RN has the Individual type.

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1104929454 NPI number is provided on an as is basis without warranty of any kind. 1104929454 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen Pearl Broderick RN are for informational purposes only.